Summary

The Harris House Foundation is a residential treatment program for alcohol and drug addiction. For over 50 years, we have helped people recover their lives from drug and alcohol addiction. We advocate a recovery with responsibility program that empowers clients to take control of their treatment and recovery process.

The Medical Billing Specialist is responsible for covering all aspects of billing and collecting on client accounts.

Job Responsibilities

Create and submit insurance claims for reimbursement in an accurate and timely manner.
Process client payments, including charging credit cards, setting up payment arrangements, and following up on outstanding balances.
Research and resolve claim issues, denials, and discrepancies to ensure proper reimbursement.
Maintain effective communication with third party insurance carriers to resolve issues that impede cash flow.
Monitor and report on key metrics such as aged receivables, collections, days outstanding, non-billed claims, denials, etc.
Download insurance payments and remittance information from payer portals and forward to the accounting team for appropriate posting.
Understand and comply with all HIPPA rules and regulations.
Maintain friendly efficient, positive customer service attitude toward clients and co-workers.

Qualifications, Knowledge, Skills & Abilities

Associate degree preferred
2+ years experience as a Medical Biller/Collector
Highly proficient with computers and various computer applications
Knowledge of Medical Billing
Knowledge of Collections
Knowledge of EMR systems and QuickBooks
AR experience required
Ability to work effectively both individually and as a team
Multitasking and time-management skills, with the ability to prioritize tasks
Understanding of revenue cycle management and experience regarding mental health billing and insurance/benefit information.
Knowledge of claims reimbursement and collection efforts for Commercial Insurance Plans.
Must possess knowledge of Explanation of Benefits (EOB’s) and understanding of copays, coinsurance, deductibles and denial codes.
Attention to detail and have the ability to prioritize independently.
Proficient customer service skills.
Ability to read and interpret insurance provider manuals.
Ability to read explanation of benefits (EOB) and remark codes and understand how they apply to the patient’s account.
Excellent communication and organizational skills with the ability to speak concisely over the phone, self-motivated, critical thinking skills and good decision-making abilities.
Excellent interpersonal problem solving and judgement skills with a high level of attention to detail and accuracy.

Physical Requirements and Working Conditions

Prolonged periods of sitting at a desk and working on a computer. 
Ability to spend long periods of time on the phone with clients and insurance companies.
Ability to lift 15 lbs.
Ability to perform repetitive tasks such as typing for extended periods of time. 
Ability to clearly and effectively communicate verbally, conveying information accurately during extended conversations or presentations.
Manual dexterity for handling office equipment and typing.
Ability to hear, perceive, and accurately interpret verbal communication.

This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees may be required to follow other job-related instructions and to perform other job-related duties as requested, subject to all applicable federal, state, and local laws and standards.

Harris House is an equal opportunity employer. We provide reasonable accommodation to qualified individuals with disabilities and encourage prospective and current employees to discuss potential accommodations with us. When we hire, we do not discriminate on the basis of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-

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Medical Biller