Job Information
Acadia Healthcare Business Office Coordinator in Wilmington, North Carolina
Description
ESSENTIAL FUNCTIONS:
Responsible for verification and interpretation of insurance benefits and establishing financial arrangements with guarantor/patient.
Estimate patient out-of-pocket and make financial arrangements with guarantor/patient. Post payment and follow up with claims.
Prepare and review all billing forms to ensure accuracy and completeness for claims submission to insurance carriers and back up for Medicare and Medicaid claims.
Process claims electronically or hard copy with 100% accuracy and mail claims timely.
Enter documentation and adjustments through computer system to maintain a correct account balance.
Update system information according to correspondence received and processed. Document any changes and submit to appropriate staff.
Review charge summaries on each patient bill that is produced and identify discrepancies with 100% accuracy.
Consistently apply appropriate procedures to prevent accounts from becoming delinquent or remaining unbilled.
Initiate appropriate follow-up and collection calls.
Review remittance advice statements for payments and adjustments on a daily basis and initiate appropriate data entry for patient charge or account discrepancy on review.
Identify denial and pending reasons and investigate, resolve and initiate information to secure reimbursement.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
High school diploma or equivalent required.
Must have at least 3 years' experience in related field.
Must have extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid.
Qualifications
Skills
Required
Problem Solving: Advanced
Communication: Advanced
Attention to Detail: Advanced
Behaviors
Required
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Dedicated: Devoted to a task or purpose with loyalty or integrity
Motivations
Required
Goal Completion: Inspired to perform well by the completion of tasks
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
Education
Required
- High School/GED or better
Experience
Required
- 3 years: 3 years' experience in related field
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
