Lighthouse Behavioral Health Solutions (LBHS) provides individual, outpatient, intensive outpatient, partial hospitalization, residential, psychiatric services, and medication assisted treatment for mental health and substance abuse treatment needs. We are a treatment facility that prides itself in a welcoming and compassionate approach to substance use and mental health treatment. We believe our clients can achieve recovery and be valued community members through positive engagement and meaningful participation in treatment.
Our Goal:
Our comprehensive approach to addictions treatment provides a continuum of care that begins with asking for help and continues through to ongoing peer support. In addition to our state-of-the-art treatment facilities and peer support centers across Central Ohio, we work to remove barriers and promote access to care through our integrative approach and evidence-based clinical treatment.
Join our exciting and fast-growing company in which you will have an impact on improving people's lives! Lighthouse Behavioral Health Solutions (LBHS) is looking for quality candidates who are pursuing professional growth in a supportive environment and can thrive in a collaborative team-focused culture.
- 9 Paid Holidays
- Paid Time Off
- Sick Time Off
- Paid continuing education opportunities
- Paid parental leave
- Medical/Dental/Vision
- 401(k)
- Life Insurance
- STAR/HRSA/Ohio student loan forgiveness programs
Job Summary: This position is responsible for notifying established third party payers of all billed accounts by mail, telephone, or by email for the purpose of collection on all accounts. Duties include billing, receiving payment, posting payment amounts to clients account, initiating collection proceedings. This position reports to the Director of RCM.
Duties and Responsibilities:
Duties and responsibilities include, but are not limited to:
- Perform weekly billing for assigned locations.
- Billing in accordance with state Medicaid's and third-party commercial payer requirements
- Receive payments and post amounts paid to client accounts in client's database system.
- Communicate with facility personnel regarding client's admissions, insurance, and authorizations
- Locate and monitor overdue accounts.
- Contact commercial/state insurance companies to check on status of claims payments and write appeal letters for denial on claims.
- Answer customer questions regarding problems with their accounts.
- Record information about the financial status of customers and status of collection efforts.
- Sort and file correspondence and perform miscellaneous clerical duties such as answering correspondence and writing reports.
- Understanding of the CMS Uniform Billing Manual.
- Complete CMS 1500's and UB04
- Bill claims with numerous state/commercial website portals.
- Familiar with multi- faceted Revenue and CPT codes.
- Prepare adjustment and write off reports.
- Must understand "explanation of benefits" (EOB) reports from all payers.
- Knowledge of commercial based payer contracts.
- Knowledge of 837 billing and 835 remits.
- Understand the workings of authorizations.
- Able to verify insurance benefits and calculate client responsibility
- Knowledge of Medicaid requirements i.e.: revenue codes/HIPAA codes.
- Follow-up on Secondary Billings, co-pays and deductibles.
- Other duties as assigned.
Competency Statement(s)
- Accuracy - Ability to perform work accurately and thoroughly.
- Assertiveness - Ability to act in a self-confident manner to facilitate completion of a work assignment or to defend a position or idea.
- Communication, Oral - Ability to communicate effectively with others using the spoken word.
- Detail Oriented - Ability to pay attention to the minute details of a project or task.
- Organized - Possessing the trait of being organized or following a systematic method of performing a task.
- Presentation Skills - Ability to effectively present information publicly.
- Tactful - Ability to show consideration for and maintain good relations with others.
- Accountability - Ability to accept responsibility and account for his/her actions.
- Communication, Written - Ability to communicate in writing clearly and concisely.
- Analytical Skills - Ability to use thinking and reasoning to solve a problem.
- Decision Making - Ability to make critical decisions while following company procedures.
- High School Diploma or GED with 3+ years of direct medical billing experience.
- Must pass BCI check, all Corporate Compliance checks, and employment drug screen.
- Associate's degree with 1+ years of direct medical billing experience.
- 3-7 years' experience in accounts receivable for Behavioral Health.
- 3-7 years' experience in collections.
Lighthouse is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, age, color, religion, sex, national origin, sexual orientation, disability status, genetics, gender identity and/or expression, protected veteran status, or any other characteristic protected by federal, state, or local law.
LBHS adheres to Title VII of the Civil Rights Act as amended, Ohio Civil Rights Act, and all applicable rules and regulations. LBHS is an equal opportunity employer.