Requisition Number: PA060-BILST-H-02-2020-01
Job Title: Billing Specialist
City: Philadelphia
State: PA

Minimum Degree Required: A - High School/GED
Minimum Years of Experience: 2
Salary Range: $19.27 per hour

Billing Specialist

Apply Now

Description/Job Summary

The Revenue Cycle Specialist is responsible for billing, collections, claims resolution and payment posting for multiple government, commercial, and private payers for a behavioral health outpatient clinic and other programs.

Responsibilities/Duties

  • Charge and Claim Processing
    • Confirm that all services provided have been entered
    • Appropriately process all services to be billed
    • Timely file all claims -primary and secondary
    • Confirm successful transmission to payors and timely resolve any transmission errors
    • Timely communicate un-billable claims to mitigate timely filing denials
  • Claim Resolution
    • Follow-up with payers to resolve all rejections, denials, re-submissions, and appeals.
    • Communicate with insurance companies, program staff and other internal stakeholders to settle billing issues and resolve open claims
    • Work open claims systematically giving priority to aged claims to resolve balances in a timely manner
    • Respond to inquiries or follow up on issues and provide information to resolve outstanding balances
    • Partner with program personal, ensuring compliance with RHD Billing requirements and guidelines
    • Create and provide reports to analyze billing and accounts receivable
    • Initiate the write-off of claims, where applicable
  • Payment posting
    • Ensure payments and adjustments are properly applied and that payments reconcile to the EOB’s received by payers
    • Retrieve payment files from various websites for payment processing
    • Process payments received from multiple insurance plans, 3rd parties and patients
    • Ensure deductibles, coinsurance, copays, and denials are properly posted
    • Perform payment research and investigation as needed
    • Reconciling Unapplied Accounts
  • Complete all other duties as assigned

Required Experience

    Prior work experience with billing and accounts receivable for healthcare or mental health in a high-volume Medical Insurance Billing setting preferredProficiency in Microsoft ExcelMust be extremely detail-oriented and able to juggle multiple assignments in a fast-paced open environmentExperience with Netsmart Avatar application is a plus

Required Education

  • Associate Degree in a business-related field or equivalent work experience

Required Qualifications

see required experience/education

Program Summary

This role is within the Behavioral Health and Housing Division 
Apply Now

Resources for Human Development is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, gender, gender identity, sexual orientation, national origin, genetic information, veteran, or disability status.