Exact Billing Solutions
Billing Specialist - Behavioral Health - Exact Billing Solutions (EBS)
Location: Lauderdale Lakes, FL
About Exact Billing Solutions Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in substance use disorder, mental health, and autism care fields of healthcare services.
Our proprietary billing process powers the revenue engines of partner healthcare companies, empowering them to focus on patient care while we accelerate cash flow and remove administrative obstacles.
About the Role We’re looking for an experienced behavioral health collections professional to take their career to the next level.
In this role you will manage day‑to‑day claims activity and work closely with insurance carriers and our clients to secure maximum benefits for patients.
Timely collections are critical to our expanding clinic operations and directly impact the ability of providers to open new locations where families need care.
Responsibilities
Review and manage assigned accounts‑receivable 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 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.
Update patient demographics and insurance information as needed.
Escalate any payor or client claim issues to department leadership.
Establish and maintain effective communications with the leadership team to ensure that all third‑party guidelines are satisfied.
Maintain documentation of claims status and add notes in the patient accounting system (CollaborateMD).
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 escalation 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 ICD‑10 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.
Company Culture Integrity, dependability, and attention to detail define our team.
We are a fast‑paced, growing company dedicated to delivering services that let our clients spend more time helping people — because at the end of the day, people, not numbers, drive our success.
Exact Billing Solutions participates in the U.S. Department of Homeland Security E‑Verify program.
#J-18808-Ljbffr
About Exact Billing Solutions Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in substance use disorder, mental health, and autism care fields of healthcare services.
Our proprietary billing process powers the revenue engines of partner healthcare companies, empowering them to focus on patient care while we accelerate cash flow and remove administrative obstacles.
About the Role We’re looking for an experienced behavioral health collections professional to take their career to the next level.
In this role you will manage day‑to‑day claims activity and work closely with insurance carriers and our clients to secure maximum benefits for patients.
Timely collections are critical to our expanding clinic operations and directly impact the ability of providers to open new locations where families need care.
Responsibilities
Review and manage assigned accounts‑receivable 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 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.
Update patient demographics and insurance information as needed.
Escalate any payor or client claim issues to department leadership.
Establish and maintain effective communications with the leadership team to ensure that all third‑party guidelines are satisfied.
Maintain documentation of claims status and add notes in the patient accounting system (CollaborateMD).
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 escalation 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 ICD‑10 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.
Company Culture Integrity, dependability, and attention to detail define our team.
We are a fast‑paced, growing company dedicated to delivering services that let our clients spend more time helping people — because at the end of the day, people, not numbers, drive our success.
Exact Billing Solutions participates in the U.S. Department of Homeland Security E‑Verify program.
#J-18808-Ljbffr