About Us:
Brave Health is on a mission to expand access to high-quality, affordable care for behavioral health conditions. We utilize the power of technology to eliminate barriers and expand access to high quality mental health and substance use disorder treatment. Through telehealth services we are able to reach those in need, when and where they need it. As a community based start-up, our goal is to make quality mental health services accessible for all.
Job Summary
The Medical Billing and Collections Representative serves as the primary point of contact for patients reaching out to Brave Health with billing matters. The ideal candidate for this position is someone who is detail oriented, has exceptional customer service skills, and has a strong background in patient billing experience. Under general supervision of the Medical Billing Supervisor, the Billing Representative is responsible for various facets of medical billing associated with customer billing and collections.
We are seeking a Billing Representative to:
- Effectively communicates with inbound and outbound guarantors, patients, or insurance companies as to the status of the account and answers questions or inquiries efficiently. Sets up payment arrangements in accordance with company policy
- Answers inbound and makes outbound calls in a fast - paced environment; handles difficult situations while maintaining quality customer service and expected
- Updates patient demographics and insurance information
- Handles patient and insurance inquiries associated with specific patient accounts, including identification and resolution of billing discrepancies when reviewing the account
- Handles escalation calls / accounts as necessary and appropriately de - escalates call to ensure patient / client satisfaction
- Records details of interactions such as inquiries, complaints, comments, or actions taken
- Performing review of accounts readying for a third party collection agency
- Administratively discharging patients whose accounts are placed with a third party collection agency
- Consistently practices good judgment and problem-solving skills when handling confidential information
- Reviews patient eligibility utilizing practice management function or payer websites to determine correct payer to be billed for specific dates of service.
- Reviews front end holds and works to resolve patient eligibility issues.
- Prepares claim data according to department and payer regulations in order to produce a “clean” claim.
- Processes insurance and patient refunds as necessary.
- Other duties as assigned
Knowledge, Skills & Abilities
- Utilizes strong communication and customer service skills.
- Strong knowledge of billing and reimbursement.
- Possess good oral and written communication skills.
- Strong organizational, quantitative skills and analytical skills
- Possess strong organizational skills and the ability to work independently and meet deadlines.
- Ability to handle a fast-paced environment
- Minimum one year medical billing experience in a health care setting preferred.
- Experience working with Florida Medicaid a bonus
- Bilingual Spanish Speaking a plus
- Strong Knowledge of Medicaid, Medicare and commercial insurance
- High school diploma, equivalent
- Excellent communication, organization, computer, time management, attention detail, documentation and analyzing skills required
- Knowledge of Word & Excel
Work Schedule: This is a full-time position that is 100% remote. Hours 8:00am-5:00pm ET; 1 hour unpaid break; or 8:30am-5:00pm with a half hour unpaid break.
Brave Health is very proud of the diverse team we have that cares for our diverse population of patients. We are an equal opportunity employer and encourage all applicants from every background and life experience without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
