Claims Billing Specialist

At Root Center for Advanced Recovery, we build relationships that empower patients with the courage and ability to change by providing guidance and support throughout every step of recovery. We are caring, knowledgeable professionals who believe in honoring the potential of every individual while continually renewing ourselves, embracing new perspectives, and recognizing that progress is the destination. For more than 150 years, we have remained committed to inspiring hope and strengthening the communities we serve.

Position Summary

Under the direction of the Billing Manager, this individual is responsible for producing biweekly claims; processing and balancing remittance advices (Explanations of Benefits) received with payments to update the accounts receivable sub-ledgers; printing reports; and filing billing and remittance records as required.

Hourly Rate Range: Starting at $20.00

Actual pay will be determined based on several factors, including education, work experience, and, in some instances, certifications. We strive for market alignment and internal equity with our colleagues' pay.

We offer a competitive compensation package designed to support your personal and professional well-being, including comprehensive medical, dental, and vision coverage, employer-paid life insurance and short-term disability, a generous retirement plan with up to a 10% employer contribution, four weeks of PTO, paid holidays (including your birthday), professional development funding and training days, annual bonus eligibility, excellent work-life balance with a 35-hour work week and no current on-call responsibilities, and eligibility for multiple NHSC Loan Repayment Programs.

Essential Functions

The responsibilities of the Claims Billing Specialist include, but are not limited to, the following:

• Processes claims; generates claims as either paper billings or electronic files.
• Receives and sorts incoming payments with attention to accuracy.
• Manages the status of accounts and balances and identifies inconsistencies.
• Issues invoices, bills, and receipts.
• Updates the account database with new accounts or missed payments.
• Processes remittances received from payers so that open claims are updated as paid or denied under dollar control.
• Balances remittances to ensure updated claim records equal payments received.
• Customer Service: Ensures all clients remain informed of their outstanding debts and deadlines.
• Provides assistance to clients and employees who need guidance on insurance deductibles, co-pays, or balances.
• Mailing: Prepares mailings for paper claims or transmits electronic claims.
• Filing: Documents duplicate payments or other off-balance conditions.
• Files office copies of claims.
• Reports: Utilizes the billing system to produce reports for the accounting department on claims management, as requested by the Claims Billing Supervisor.
• Confidentiality: Adheres to Root Center for Advanced Recovery's Corporate Compliance Code of Conduct, policies, and procedures, as well as state and federal laws and regulations regarding HIPAA, privacy, and security.

Minimum Qualification Requirements

An Associate's degree in accounting or a related field and two (2) years of experience in a billing or insurance position-preferably in a healthcare setting-are required. A Bachelor's degree is preferred.

EEO Statement:

Root Center is committed to hiring and retaining a diverse workforce. Root considers applicants for employment without regard to, and does not discriminate on the basis of, an individual's sex, race, color, religion, age, disability, status as a veteran, or national or ethnic origin; nor does Root Center discriminate on the basis of sexual orientation or gender identity or expression.

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