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Exact Billing Solutions

Patient Accounts Representative

Exact Billing Solutions, Florida, New York, United States

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Patient Accounts Representative- Behavioral Health - Exact Billing Solutions (EBS)

Lauderdale Lakes, FL

Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies. EBS is poised for exponential growth and we are building out our team to support the expansion of global operations.

Base pay range: $58,240.00/yr - $64,480.00/yr

About the Role We are looking for an experienced behavioral health collections professional to join our expanding clinic network. In this role you will communicate and coordinate with insurance companies and clients to obtain the maximum benefits for our partners.

Responsibilities

Review and manage assigned AR inventory to ensure timely follow‑up on outstanding claims

Investigate and resolve denials, rejections, and under‑payments 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 escalate 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)

3 years of experience in behavioral health out‑of‑network billing

Knowledge and experience with CollaborateMD EMR and billing software programs

Experience with ABA therapy (preferred)

Experience/knowledge with CPT and ICD‑10 codes (preferred)

Claims denial experience with follow‑up from payers including appeals

Benefits

21 paid days off (15 days PTO + 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

Culture Integrity. Dependability. Attention to detail. All our team members exhibit these qualities when it comes to doing business. And when it comes to the business of supporting a team, we offer no less to our team members. We’re a fast‑paced, growing company delivering services that allow our clients to spend more time helping people. At the end of the day, it’s people, not numbers, that drive our success.

Exact Billing Solutions participates in the U.S. Department of Homeland Security E‑Verify program.

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