Exact Billing Solutions
Overview
Exact Billing Solutions (EBS) is a revenue cycle management company specializing in substance use disorder, mental health, and autism care. With proprietary billing processes and scalable systems, EBS supports healthcare partners to accelerate cash flow and improve patient outcomes.
About the Role The Accounts Receivable Coordinator – Behavioral Health is responsible for effective communication and coordination with insurance companies and clients to obtain maximum benefits for clients.
Responsibilities
Review and manage assigned AR inventory to ensure timely follow‑up on outstanding claims
Investigate and resolve denials, rejections, and underpayments by working directly with payors and internal teams
Submit corrected claims, appeals, and additional documentation as required to secure reimbursement
Document all collection activities clearly and accurately within our systems
Monitor payor trends and elevate recurring issues to leadership
Meet or exceed daily, weekly, and monthly productivity and quality standards
Support special projects and process improvement initiatives as assigned
Maintain effective communication with third‑party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction
Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc.
Status claims and add notes in the patient accounting system (CollaborateMD)
Escalate any payor or client claim issues to department leadership
Establish/maintain effective communications with the leadership team to ensure that all third‑party guidelines are satisfied
Update patient demographics and insurance information as needed
Ability to meet KPI established metrics for productivity
Requirements
Review and manage assigned AR inventory to ensure timely follow‑up on outstanding claims
Investigate and resolve denials, rejections, and underpayments by working directly with payors and internal teams
Submit corrected claims, appeals, and additional documentation as required to secure reimbursement
Document all collection activities clearly and accurately within our systems
Monitor payor trends and elevate recurring issues to leadership
Meet or exceed daily, weekly, and monthly productivity and quality standards
Support special projects and process improvement initiatives as assigned
Maintain effective communication with third‑party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction
Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc.
Status claims and add notes in the patient accounting system (CollaborateMD)
Escalate any payor or client claim issues to department leadership
Establish/maintain effective communications with the leadership team to ensure that all third‑party guidelines are satisfied
Update patient demographics and insurance information as needed
Ability to meet KPI established metrics for productivity
Qualifications
Associate's degree (preferred)
Behavioral health out‑of‑network billing: 3 years of experience
Knowledge and experience with CollaborateMD EMR and billing software programs
Experience with ABA therapy preferred
Experience/knowledge with CPT and ICD10 codes preferred
Claims denial experience with follow up from payers including appeals
Benefits
21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays)
Flexible Spending Account (FSA) and Health Savings Account (HSA) options
Medical, dental, vision, long‑term disability, and life insurance
Generous 401(k) with up to 6% employer match
Exact Billing Solutions (EBS) Culture Integrity, dependability, and attention to detail are the qualities that define our team. EBS is a fast‑paced, growing company that delivers services allowing clients to focus more time on helping people. People, not numbers, drive our success.
Seniority level
Associate
Employment type
Full‑time
Job function
Other
IT Services and IT Consulting
Exact Billing Solutions participates in the U.S. Department of Homeland Security E‑Verify program.
#J-18808-Ljbffr
About the Role The Accounts Receivable Coordinator – Behavioral Health is responsible for effective communication and coordination with insurance companies and clients to obtain maximum benefits for clients.
Responsibilities
Review and manage assigned AR inventory to ensure timely follow‑up on outstanding claims
Investigate and resolve denials, rejections, and underpayments by working directly with payors and internal teams
Submit corrected claims, appeals, and additional documentation as required to secure reimbursement
Document all collection activities clearly and accurately within our systems
Monitor payor trends and elevate recurring issues to leadership
Meet or exceed daily, weekly, and monthly productivity and quality standards
Support special projects and process improvement initiatives as assigned
Maintain effective communication with third‑party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction
Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc.
Status claims and add notes in the patient accounting system (CollaborateMD)
Escalate any payor or client claim issues to department leadership
Establish/maintain effective communications with the leadership team to ensure that all third‑party guidelines are satisfied
Update patient demographics and insurance information as needed
Ability to meet KPI established metrics for productivity
Requirements
Review and manage assigned AR inventory to ensure timely follow‑up on outstanding claims
Investigate and resolve denials, rejections, and underpayments by working directly with payors and internal teams
Submit corrected claims, appeals, and additional documentation as required to secure reimbursement
Document all collection activities clearly and accurately within our systems
Monitor payor trends and elevate recurring issues to leadership
Meet or exceed daily, weekly, and monthly productivity and quality standards
Support special projects and process improvement initiatives as assigned
Maintain effective communication with third‑party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction
Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc.
Status claims and add notes in the patient accounting system (CollaborateMD)
Escalate any payor or client claim issues to department leadership
Establish/maintain effective communications with the leadership team to ensure that all third‑party guidelines are satisfied
Update patient demographics and insurance information as needed
Ability to meet KPI established metrics for productivity
Qualifications
Associate's degree (preferred)
Behavioral health out‑of‑network billing: 3 years of experience
Knowledge and experience with CollaborateMD EMR and billing software programs
Experience with ABA therapy preferred
Experience/knowledge with CPT and ICD10 codes preferred
Claims denial experience with follow up from payers including appeals
Benefits
21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays)
Flexible Spending Account (FSA) and Health Savings Account (HSA) options
Medical, dental, vision, long‑term disability, and life insurance
Generous 401(k) with up to 6% employer match
Exact Billing Solutions (EBS) Culture Integrity, dependability, and attention to detail are the qualities that define our team. EBS is a fast‑paced, growing company that delivers services allowing clients to focus more time on helping people. People, not numbers, drive our success.
Seniority level
Associate
Employment type
Full‑time
Job function
Other
IT Services and IT Consulting
Exact Billing Solutions participates in the U.S. Department of Homeland Security E‑Verify program.
#J-18808-Ljbffr