Accounts Receivable Specialist, Full-Time

Accounts Receivable Specialist, Full-Time

Nationwide

Position is remote.

Who we are:

Bend Health is revolutionizing the treatment of mental health conditions for kids and teens. Our innovative technology achieves better outcomes and leads to happier, healthier lives while ensuring stigma, costs, and logistics are no longer barriers. Come and be part of a fun, collaborative, supportive, motivated, and mission- and data-driven team that’s creating the first scalable and integrated model in mental healthcare for kids and teens. Help us shape the future of pediatric mental health and bend the healthcare system to work better for everyone. Today’s world can be intense and stressful, and it’s taking an unprecedented toll on kids, teens, and families. Bend Health’s collaborative care model relies on an evidence-based approach to help families manage the ups and downs of everyday life. We are looking for a full-time, Accounts Receivable Specialist passionate about whole-person, whole-family mental health care to join our team. This position reports to the SVP of Revenue Cycle Management and Payer Relations.

What you’ll do:

• Claims Processing: Review and process health insurance and health system partner claims accurately and efficiently using appropriate medical coding and billing software.
• Claim Submission: Submit claims to insurance companies, payers, health system partners, and government payers in accordance with established guidelines and deadlines.
• Payment Posting: Post payments accurately to patient accounts, ensuring proper allocation and reconciliation.
• Denial Management: Investigate and resolve claim denials and rejections promptly, including appealing denied claims as necessary.
• Follow-up: Monitor accounts receivable aging for patient liability, insurance balances, follow up on unpaid claims, and initiate appeals or inquiries as needed to ensure timely payment.
• Verification: Verify insurance eligibility and benefits for patients prior to service, and update patient records accordingly.
• Billing: Generate and send patient statements for outstanding balances not covered by insurance, and assist patients with payment arrangements or financial assistance options.
• Reporting: Prepare and analyze accounts receivable reports related to insurance billing and collections, providing insights and recommendations for process improvements.

Who you are:

• A great people person that is willing to work collaboratively with multiple departments and vendors.
• Bachelor‘s degree in healthcare administration, Business Administration, or related field preferred.
• Minimum of 2 years of experience working in health insurance accounts receivable or medical billing.
• Proficiency in medical billing software (e.g., Epic, Cerner) and familiarity with medical coding (ICD-10, CPT, HCPCS).
• Knowledge of health insurance regulations, including Medicare, Medicaid, and commercial insurance plans.
• Strong analytical skills and attention to detail.
• Excellent communication and interpersonal skills, with the ability to interact professionally with insurance companies, healthcare providers, and patients.
• Ability to work independently and as part of a team in a fast-paced healthcare environment.

Preferred Skills:

• Certification as a Medical Billing Specialist (CMBS) or Certified Professional Biller (CPB).
• Experience with electronic claims submission and electronic remittance advice (ERA).
• Knowledge of healthcare revenue cycle management processes.
• Understanding of HIPAA regulations and patient privacy laws.

The salary range for United States residents is $45,000-$65,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Bend Health offers a comprehensive benefits package, incentive and recognition programs, equity, and 401k contribution (all benefits are subject to eligibility requirements). Come join us to expand access to quality mental health care for kids, teens, and families!