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Accounts Receivable Specialist

Posted by: Water's Edge Counseling & Healing Center

Posted date: 2018-Feb-20

Location: Burnsville

Job Summary

Water's Edge Counseling & Healing Center is a growing, outpatient mental health facility that specializes in the treatment of depression, anxiety, trauma and eating disorders. We take a biological-psychological-social-spiritual approach to care. We offer Christian integration into treatment for client's who desire this. Looking for a new team member to enhance our Business Department and accounts receivable efforts as well as contribute to our atmosphere of healing.

This position’s primary role is to maximize collections of moneys due from insurance carriers and client accounts receivable. Additionally, this role will involve some direct client contact regarding assisting clients in understanding their insurance benefits, cost of treatment, and to make a financial plan that allows them to engage in treatment.

Responsibilities and Duties

Billing and Accounts Receivable

  • Identify and troubleshoot overdue client accounts and unpaid insurance claims
  • Run and monitor AR Aging reports regarding client and payer accounts receivable on a monthly basis
  • Research and resolve client insurance claims which are denied or uncollected
  • Coordinate the accounts receivable collection effort with support of the Business Department and President
  • Contact insurance companies (3rd party payers) to find out what action is needed to pay a problem claim, follow up on those actions, write appeals, fax medical records, work with Business Department to get claims re-billed as needed, track and notate all actions taken. Including but not limited to commercial medical insurance, primary and secondary payers, intensive benefits, Medicaid, Medicare, and private pay
  • Create, submit, and follow through on appeals
  • Review monthly billing statements and mail out to clients
  • Coordinate, write up, and process financial hardship applications for clients and set up payment plans with clients as needed, obtain payments, maintain ongoing communication with providers involved
  • Reconcile account payments (insurance carrier, patient and/or 3rd party) to ensure full and accurate reimbursement is received and/or correct balance is due
  • Research all payer refund requests, recoupments and credit balances for accuracy and appeal if appropriate
  • Access and follow payer policies and procedures to resolve disputes and denial of claims as well as denial of authorizations of services
  • Support and backup medical billing processes including but not limited to accurate and timely recording of service lines and submissions of claims, verify accuracy of billing data and revise errors, operate online software for billing posting and claims research

Customer Service

  • Manage approximately 20 calls per day, on average related to billing and insurance inquiries, Respond to client voicemails (up to 10 each day)
  • Call clients about termed insurance coverage and collect new information and enter into online system
  • Client walk-in financial consultations, or insurance questions, billing questions, etc
  • Group referral calls - financial consultations with clients to discuss benefits and financial policies of WECHC
  • Follow company procedures to address and resolve client disputes
  • Record details of conversations with payers and clients in the client’s electronic medical record

Admin/Provider Support

  • Collect and record cash, check and credit card payments in Quickbooks and Procentive as needed
  • Assist administrative team with daily operations as needed (including but not limited to answering phones, scheduling, registering new clients, scanning, faxing, filing)
  • Assist with verifying client’s medical insurance benefits and enter information into electronic medical record system (Procentive) as needed
  • Assist in the creation and documentation of policies and procedures and operations manual
  • Assist in the training of new staff as needed

Other Duties:

  • Adhere to Company and department policies and procedures
  • Other duties as assigned to meet the needs of the department and/or company
  • Must be willing to adhere to a team code of conduct and contribute to and maintain a positive working atmosphere

Qualifications and Skills

Qualifications include :

  • Bachelor’s or post-secondary degree preferred
  • 2 or more years working in medical billing, accounts receivable, medical collections, claims resolution, and customer service oriented positions, preferably in a medical or behavioral health setting
  • Proficient with Microsoft Office Products, including Outlook, Word and Excel
  • Experience working with Procentive strongly desired (Electronic Health Records and Billing Services)
  • Experience with Quickbooks software beneficial but not required
  • Willing to adapt with changes in technology and procedures as necessary
  • Possess both strong written and verbal skills
  • Excellent data entry and organizational skills with high degree of accuracy and attention to detail
  • Perform positively and effectively in a busy office
  • Knowledge of health insurance, and how co-pays, deductibles, coinsurance, and out-of-pocket max works
  • Strong telephone skills
  • Ability to be direct and hold individuals accountable while still being compassionate
  • Ability to prioritize and make decisions
  • Strong customer service skills, willingness and ability to communicate with clients who may be upset
  • Demonstrated professionalism in dealing with confidential and sensitive patient information. Comfortable discussing financial matters and asking for/requesting payment on past due accounts.
  • Exhibit a high level of courtesy, tact and poise with interacting with clients, co-workers, other internal customers, visitors and healthcare professionals
  • Able to speak, read and write in English
  • Able to read, understand and follow written and verbal instructions
  • Able to work independently and as part of a team
  • Ability to sit for long periods, and communicate over telephone while using computer
  • Ability to work with a diverse population of staff and clients

Compensation & Benefits: Competitive and based on experience


Position qualifies for Company benefits including medical,dental, short term disability and retirement plan.

Job Type: Full-time

Required experience:

  • accounts receivable/collections: 2 years
Job Title Accounts Receivable Specialist
Post Details
Organization Water's Edge Counseling & Healing Center
Phone 9528985020
Email kbushman(at)watersedgechc.com
Location Burnsville
State State -> Minnesota
Zip Code 55306.00
Country Country -> United States
Deadline for applying 2018-Mar-15
Job Type Job Type -> Full-time
Job Category Job Classification -> Accounting / Finance / Banking
Church Job Category Church Job Category -> Business/Administration
Church Size
Worship Style

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