Job Title: Accounts Receivable (Billing) Specialist

Reports To: Billing Supervisor

Northpoint Recovery Holdings, LLC, established in 2009, is a growing, behavioral healthcare treatment platform treating adults with substance use disorder and co-occurring conditions under the Northpoint Recovery brand and adolescents with mental healthcare conditions under the Imagine by Northpoint brand. The Company serves patients with commercial health insurance and is an in-network model. Northpoint has grown from two facilities to fifteen today entirely on a de novo basis with plans to expand rapidly in both existing and new markets. Organizational values include humility, heart, inspiration and conviction. Our commitment to excellence means doing good for others and engaging in innovative empirical based treatment. In short, our mission is to help people get their lives back and show them respect and empathy in the process.

POSITION SUMMARY: As a member of the Billing team, this person is responsible for posting all money received and reconciling against what is reported in the billing software and what is received in the bank. The ideal candidate will have a strong understanding of the entire billing life cycle of a patient, including verifications, pre-authorizations, utilization review, appeals, claims submissions, claims adjudications, and denials. The A/R Posting Specialist will be responsible for working with the Billing team and assigned payers to ensure payments are posted in an accurate and timely manner and that the daily cash reconciliation is complete and accurate.

ESSENTIAL RESPONSIBILITIES AND DUTIES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING:

• Perform consistent, assertive, efficient, and timely follow-up on accounts as determined by management.
• Able to understand and effectively interpret payer contracts, Remittance Advices (RA) and Explanation of Benefits (EOB) statements.
• Demonstrates knowledge of insurance and billing forms and the ability to investigate and resolve debit and credit account balances.
• Maintain active working knowledge of all billing and reimbursement requirements by payer and ensure compliance.
• Assist in the increase of cash collection and the decreasing of Accounts Receivables (AR) aging for designated plan(s) using effective and efficient collection techniques, including, but not limited to, the use of individual plan(s) escalation and/or appeal processes, and patient contact.
• Corrects billing errors, edits, overlaps, etc., and submit clean claims electronically or on paper to be mailed when necessary, using the NPR’s third-party claim editor systems. (Lighting Step and Zirmed).
• Review accounts and determine appropriate follow-up activities.
• Review payment variances and remittances for resolution efficiently and in a timely manner for processing of patient and/or insurance refunds.
• Monitor AR reports and ensure billing system accuracy for claim status and expected revenue posting.
• Respond in a timely manner to a high dollar account, and/or complex accounts.
• Identify payer issues or trends and update Manager in a timely manner, providing concrete examples for Management to review.
• Maintain minimum A/R performance according to department objectives.
• Collaborate with Collections team and other departments in RCM to ensure successful execution of assigned duties and priorities.
• Provide reports to Billing Supervisor on an ad hoc basis for cash forecast purposes.
• Maintain confidentiality in accordance with established policies and procedures and standards of care.
• Adhere to all Company policies and procedures.
• Perform other job-related duties as assigned.

QUALIFICATIONS/REQUIREMENTS FOR POSITION:

• Must be at least twenty-one (21) years of age
• Minimum of three (3) years of experience in billing, payer relations and hospital A/R
• Minimum of two (3) years of experience working in a healthcare setting preferably in hospital setting
• Minimum of one (2) year of experience working with commercial medical insurance billing, claims submission, and a developed understanding of efficient workflows and the technical aspects of billing software
• Strong organizational and interpersonal skills
• Familiarity with major payer guidelines
• Must understand of CPT and ICD-10 coding regulations and guidelines
• Meticulous attention to detail and high level of accuracy is key
• Demonstrated ability to develop both internal and external working relationships
• Proven skills in working independently on several projects concurrently

PREFERRED KNOWLEDGE AND SKILLS:

• Sense of ethics, integrity, and confidentiality about employee and business issues
• Ability to work independently and within a dynamic team environment
• Maintain professional and technical knowledge
• Excellent critical thinking skills and organizational abilities
• Excellent communication skills; ability to communicate clearly and concisely, verbally and in writing
• Quickly and effectively identify and resolve problematic situations
• Comfortable analyzing information and dealing with complexity
• Attention to detail and accuracy
• Able to handle confidential material in a reliable manner
• Ability to interact and communicate with individuals at all levels of organization
• Ability to perform several tasks concurrently with ease and professionalism
• Ability to effectively prioritize workload in a fast-paced environment
• Proficiency with Microsoft Office Suite

REQUIRED CERTIFICATES/LICENSES/REGISTRATIONS:

• Must be at least twenty-one (21) years of age

SUPERVISORY RESPONSIBILITIES:

• None

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Job performed at a desk in front of a computer
• Requires heavy use of mouse and keyboard
• Indoor office environment
• Though this position is not permanently located in a treatment facility setting, exposure to emotionally impaired patients is possible, and may be frequent. Stress ranges from low to high, depending on the situation

CONDITIONS OF EMPLOYMENT:

• Completion of a tuberculin screening during first week of employment
• Completion of a pre-employment drug screening, post-accident and upon reasonable suspicion of use
• Completion of orientation and required paperwork prior to reporting to work
• Demonstrated computer literacy
• Attendance at all mandatory staff development and training
• Completion of background and professional reference checks

Job Type: Full-Time

Compensation:

• $21.00 - $24.00 per hour

Full-Time Benefits Include:

• 85% Employer Paid Medical premium for employee level coverage – spouse and dependent premiums are subsidized at 50%
• 100% Employer Paid Basic Life Insurance equal to 1x annual salary
• 100% Employer Paid Employee Assistance Program
• Voluntary Dental, Vision, Short-Term Disability, and Supplemental Life & AD&D Insurance
• Pre-tax Savings Accounts for all IRS-allowable medical and dependent care expenses
• Generous Paid Time Off plan and 10 paid holidays annually
• Employee Referral Bonuses
• 401K Retirement Plan & Employer Match
• Free counseling services and resources for emotional, physical and financial wellbeing
• Consumer discounts through LifeMart
• Free parking!

Ability to Commute/Relocate:

• Meridian, Idaho; reliably commute or plan to relocate before starting work (Required)

This job description is not intended, and should not be construed, to be exhaustive lists of all responsibilities, skills, efforts or working conditions associated with this job. It is meant to be an accurate reflection of the principal job elements essential for making fair pay decisions about jobs.

Employees with potential access to protected health information must comply with all procedures and guidelines governed by HIPAA.

Northpoint is an Equal Opportunity Employer. Northpoint is an at-will employer. Employment may be terminated at any time by employee, or employer with or without notice.