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Patient Accounts Specialist

Mental Health Resource Center

Jacksonville, FL

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JOB DETAILS
SKILLS
Accounts Receivable, Behavioral Health, Billing, Case Management, Child and Youth Services, Clinical Information, Community and Social Services, Computer Software, Credit and Collections, Demographics, Dental Insurance, Desktop PC, Disability Insurance, Emergency Services, Employee Assistance Plan, Financial Analysis, Flexible Spending Accounts, Health Insurance, Healthcare, High School Diploma, Insurance, Life Insurance, Medicare, Medications, Microsoft Office, Nonprofit, Office Management, Outpatient Care, Patient Admissions, Patient Care, Problem Solving Skills, Psychiatry and Mental Health, Reconciliation, Third-Party Payer, Time Management, Utilization Management, Vision Plan
LOCATION
Jacksonville, FL
POSTED
30+ days ago
Benefits:
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Benefits/Perks
  • Medical, Dental, and Vision Insurance
  • Life Insurance
  • Disability Insurance
  • 403b
  • PTO
  • Paid Holidays
  • Flexible Spending Account
  • Employee Assistance Program
Company Overview
Mental Health Resource Center is a not-for-profit Florida corporation that provides a wide range of mental health and behavioral health care services to the community such as 24-hour emergency services, inpatient psychiatric services for children, adolescents, and adults as well as outpatient services such as medication management, case management, and counseling.

Job Summary
The Patient Accounts Specialist is responsible for accurate and timely claims submissions, reimbursements, adjustments, and refunds of assigned insurance payers in accordance with current policies and procedures.

Responsibilities 
  • Files claim with all appropriate payers. 
  • Generates daily billing reports that reflect payer summaries of claims filed and amounts to be collected for submission to the Business Office Manager.
  • Transmits billing electronically and manually for all companies in accordance with departmental deadlines.
  • Performs timely and accurate applications and insurance company payments/adjustments.
  • Evaluates denials in a timely manner for appropriate reconciliation, rebilling, and other necessary follow-up.
  • Receives phone calls and inquiries from both third-party payers and individuals served on claims and responds to same as appropriate.
  • Maintains and updates financial files that contain current demographics, historical data, financial status, and payer source.  Works cooperatively with other departments to obtain accurate clinical and demographic information to ensure timely billing and collection of fees owed for services rendered.
  • Works with staff on third-party verification. Coordinates with utilization management, inpatient admitting clerk, and outpatient staff to assure proper pre-certifications are obtained from insurance companies. Performs insurance verifications when necessary.
  • Reviews and utilizes Accounts Receivables aging and billing error reports for the purposes of correction, reconciliation, and problem resolution in regard to receivables, in an effort to prevent 90 and 120-day receivables.
  • Processes financial evaluations for eligibility of sliding scale, as well as maintaining financial documents.
Qualifications
  • In order to be considered, candidates must have a High school graduate or equivalent required and two years of medical third-party billing and collection experience required.
  • Two years’ experience working with a desktop computer and related software (i.e. Microsoft Office).
  • Experience with Medicare preferred.
Position Details 
This position is a Full Time Days position: Monday through Friday, 8:00am to 4:30pm.

Renaissance Behavioral Health Systems and Mental Health Resource Center are Equal Opportunity Employers.
Background screening and clearance through the Florida Care Provider Background Screening Clearinghouse is required for all positions: https://info.flclearinghouse.com


About the Company

M

Mental Health Resource Center

Renaissance Behavioral Health Systems

RBHS functions as a management services organization, providing centralized administrative, finance and accounting, human resources, information technology and quality improvement services to MHRC.  Through its administrative function, RBHS coordinates the programs and services of MHRC to create an integrated, high quality service delivery system.

Mental Health Resource Center

Founded in Jacksonville in May 1977, Mental Health Resource Center, Inc. (MHRC) is a Florida not-for-profit corporation that provides a wide range of behavioral health and social services to the community.  Included in MHRC’s service array are 24-hour emergency services; inpatient psychiatric services for children, adolescents and adults; and numerous outpatient services, including medication management, case management, counseling, supported housing, psychosocial rehabilitation, two programs for the homeless, a therapeutic family program, state hospital liaison services, forensic services, in-jail services, and nine Florida Assertive Community Treatment (FACT) programs for adults with severe and persistent mental illness located in Clearwater, Gainesville, Jacksonville, Kissimmee, Naples, Rockledge, Tampa, and Winter Haven. 

Since 1989, MHRC’s programs have been fully accredited by The Joint Commission.  Inpatient services are licensed by the State of Florida, Agency for Health Care Administration.  MHRC is a certified agency of United Way of Northeast Florida.      

MHRC accepts and directly bills most insurance plans, including Medicaid, Medicare and most private insurance plans.  Individuals who do not have health insurance and cannot afford our standard rates may be eligible for a reduced fee, depending on their income and number of household members.  Some MHRC programs are funded in part by the Florida Department of Children and Families (DCF) and its managing entities, LSF Health Systems, Central Florida Behavioral Health Network, and Central Florida Cares Health System; the federal government; and the City of Jacksonville.

Mission

MHRC helps people improve their well-being and achieve their goals by providing comprehensive behavioral healthcare and social services.

Vision

We view MHRC as a leader in the behavioral health and social services field, and we will continuously strive to provide services of the highest quality and effectiveness.  Our services will be provided in the most appropriate, least restrictive setting and in the most cost-effective manner utilizing caring, professional staff.

Values

At MHRC, the core values reflect what is important to our organization.  These values guide our decisions and actions as we provide services, communicate with one another, and develop relationships within the community:

 

Integrity

We believe in ethical conduct, including honesty, fairness, and sound decision-making.

Compassion

We listen to others openly and respectfully, respond with sensitivity and understanding, and work every day to improve the lives of people in need.

Excellence

We continuously improve our communication, knowledge, and skills to provide services of the highest quality and effectiveness.

COMPANY SIZE
500 to 999 employees
INDUSTRY
Healthcare Services
WEBSITE
http://www.mhrcflorida.com/home.html