Company Overview

Tree of Life Counseling Center, LLC is a family owned and operated, growing mental health private practice headquartered in Freehold, NJ with another location in Princeton, NJ. We have been operating since 2016 and currently have a growing team of over 44 clinicians and 8 administrative staff supporting our mission. We accept almost every major insurance and have a growing waiting list of clients needing care. Our offices provide a warm and relaxing environment for both staff and clients and both of our locations provide group rooms, craft rooms (for children), sand-tray therapy and more. We have over 50 therapy rooms across our two locations with clinicians specializing in talk therapy and EMDR for anxiety, trauma, family issues, LGTBQ+ and more. In addition we have practitioners offering reiki, massages, group classes for meditation, breathing, and yoga. More information is available at www.treeoflifecc.org.

Position Overview

*Please note we are able to consider remote, on-site, AND hybrid employment opportunities for this role*

We are seeking a Remote Medical Billing Specialist with a comprehensive understanding of accounts receivable management in a mental health healthcare setting. This position requires strong working knowledge of managed care plans, insurance carriers, referrals and pre-certification procedures. Also required is a strong working knowledge of CPT, ICD-10, HCPCS, modifiers, coding and documentation guidelines. Strong customer service, organizational and communication skills are essential to this position. In addition, strict adherence to write-off policies, refund policies and other accounts receivable policies is required. This position requires an ability to prioritize multiple tasks simultaneously in an occasionally stressful environment. Also required are general computer skills, typing skills and a working knowledge of compliance and HIPAA.

Roles and Responsibilities

• Review charges related to the assigned professional services into the electronic health record system including office charges in accordance with practice protocol with an emphasis on accuracy to ensure timely reimbursement and maximum patient satisfaction.
• Post all payments for services into the practice management system including co-payments, insurance payments, and patient payments with an emphasis on accuracy to ensure maximum patient satisfaction and profitability. All payment batches must be balanced. Maintain a daily posting log and report to manager.
• File payment batches and explanation of benefits by batch date for quick reference.
• Review the clinicians coding at charge entry to ensure compliance with insurance guidelines and to ensure accurate and timely reimbursement.
• Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts
• Verify all demographic and insurance information in patient registration of the practice management system at the time of charge entry to ensure accuracy, provide feedback to manager.
• Follow-up on all outstanding insurance claims with an emphasis on maximizing patient satisfaction and practice profitability.
• Follow-up on all outstanding patient account with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aged reports.
• Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
• Submit primary and secondary insurance claims to ensure timely reimbursement.
• Recommend accounts for outside collection when internal collection efforts fail.
• Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates.
• Maintain information regarding coding, insurance carriers, managed care networks and credentialing in an organized easy to reference format.
• Maintain an organized, efficient and professional work environment.
• Adhere to all practice policies related to HIPAA and insurance Compliance.
• Other duties as assigned by senior leadership.

Education

• High school diploma or GED is required. Certification as a Professional Coder highly desired.

Experience

• Requires a minimum of 3 years of accounts receivable experience preferably in a mental health/healthcare setting.
• Knowledge of CPT and ICD-10 coding. CPC coding certification a plus.

Skills

• The jobholder must demonstrate current competencies applicable to the job position.
• Requires excellent written and verbal communication skills and strong customer service skills.
• Requires strong basic mathematical skills.
• Requires an extensive working knowledge of managed care networks and insurance carriers.
• Requires an extensive working knowledge of accounts receivable functions including CPT and ICD-10 coding.
• Requires proficiency in general office automation including operation of fax machines, copy machines, adding machines, postage machines, and multi-line phone systems.
• Requires proficiency in working with a Mac, the Internet, and MS Office.
• Requires a good understanding of the current Medicare Compliance, commercial insurance, and HIPAA regulations.
• Requires a high degree of organization.

Abilities

• Ability to establish/maintain cooperative working relationships with staff and providers.
• Ability to communicate effectively and in a professional manner.
• Ability to prioritize and multi-task.

Benefits

• Competitive salary
• Health Insurance plans from UHC/Oxford (we contribute)
• Voluntary benefits from Mutual of Omaha including dental (we contribute), vision, and disability
• $50,000 life Insurance for each full-time staff member (we pay this, but you can always add more)
• 401(k) retirement plans with a 3% match and low plan fees

Other Perks

• Free snacks and coffee in all locations
• Monthly lunch and learn events for all staff with topics including wellness and mindfulness
• Peloton and Tonal studio on-site (Princeton)
• Gym with weights and cardio equipment provided on-site (Freehold)
• Private lake with walking trails (Princeton)
• Team outings and private events
• Fully digital practice utilizing the latest technology and software in mental health
• Collaborative and inclusive environment
• Ample opportunity for growth

Interview Process

• Submit your resume
• Selected applicants will have screening call with our Chief Operating Officer or Director of Human Resources
• Video interviews with members of our Leadership Team
• Offer made (typically within 2-4 weeks of submitting your resume)

69DZSmZN6C