Billing Specialist

Overview

Crossroads Health, a 501(c)(3) non-profit organization with facilities located in Mentor, Painesville, and Cleveland, serves Northeast Ohio communities with comprehensive behavioral and primary integrated healthcare, early childhood services, extended housing and recovery services—no matter one's ability to pay. Our mission is to provide hope, healing, and healthcare to everyone.

• Billing, payment posting, and collection of Crossroads' accounts receivable. Parties responsible for payment include but are not limited to the client, third party insurances, Medicaid and the ADAMHS Board. Establish clients and/or update demographic information on the billing system; verify all aspects of a client s payment arrangements; record payments; and expeditiously collect payments and resolve past due accounts.
• Accounts Receivable:
  Bill clients, MACSIS (ADAMHS Board, Medicaid), insurances and all other potential billing parties in a timely manner. Verify client insurance coverage, request additional billing information from all sources if needed, and record all billing payments made by all parties. Work within the team and payer structures to reduce outstanding accounts receivable and assist in efforts that result in additional reimbursement for Crossroads Health.
• Administration:
  Maintain current and accurate client balances and provide monthly billing statements for client portion. Maintain and update insurance company correspondence, changes and mailing lists.
• Collections:
  Review payment remittance for full benefit reimbursement. Resolve outstanding balances due to partial or nonpayment activity.
• Payer Denials:
  Follow up on all claims that have been denied by payers to determine needs and effectively turn the denial into payment based on payer guidelines.

Education:

• High school diploma or equivalent

Experience:

• Two (2) years of experience in a Billing Specialist (preferred)
• Experience in the healthcare, nonprofit sector (preferred)

Licensure/

Certifications:

• BLS/CPR/First Aid (as applicable, company provided)

Our organization is committed to equal employment opportunity. We do not discriminate against employees or applicants on the basis of race, color, religion, gender/sex (including pregnancy, childbirth, and pregnancy-related conditions), sexual orientation, gender identity, national origin, age, physical or mental disability, veteran status, uniform service member status, genetic information, or any other status protected by law