Remote Claims Processor Jobs in Bridgeport, CT (NOW HIRING)

Description

About the Position:

The Accounts Receivable Specialist is responsible for managing and resolving outstanding accounts receivable for Mountainside Treatment Center. This position involves proactive follow-up on unpaid claims, working closely with insurance companies, and ensuring timely collections. The ideal candidate will possess strong communication skills, attention to detail, and the ability to handle sensitive financial information. 

Schedule:

Monday - Friday: 8:30 am - 5:00 pm 

Your Role:

• Collections Management:
• Review and analyze client accounts to identify outstanding balances  
• Initiate contact with insurance companies and clients to resolve unpaid claims.
• Utilize various communication methods, including phone calls, emails, and letters to follow up on outstanding balances.
• Claims Resolution:  
• Investigate and resolve insurance claim denials and discrepancies.  
• Require resubmission of corrected claims as needed and ensure proper documentation.
• Collaborate with billing to address any billing errors or issues.
• Record Keeping:  
• Maintain accurate and up-to-date records of all collection's activities and communications.
• Update clients account information as necessary.
• Keep a list of accounts that require management assistance and bring this up during weekly check ins  
• Customer Service:  
• Provide exceptional customer service to clients and their families regarding billing and payment inquiries.
• Address and resolve clients concerns and questions in a professional and empathetic manner.  
• Compliance:   
• Adhere to all relevant laws, regulations, and company policies regarding client confidentiality and billing practices.  
• Stay informed about changes in insurance policies and regulations effecting collections.  

Qualifications:

• High School diploma or equivalent required. Associate's or Bachelor's degree preferred
• Minimum of 3-5 years of healthcare accounts receivable and insurance collections experience in a high-volume medical billing environment required
• Strong understanding of commercial insurance payers, including claim status follow-up, denials, appeals, underpayments, and reimbursement resolution
• Experience working with behavioral health, substance use disorder (SUD), or facility/professional billing preferred
• Proven ability to manage and prioritize a large AR inventory while meeting productivity and collection goals
• Experience reviewing EOBs, ERAs, claim forms (UB-04/CMS-1500), payer portals, and insurance payment methodologies
• Knowledge of insurance verification, authorization requirements, coordination of benefits (COB), timely filing, and appeals processes
• Ability to identify billing trends, payer issues, and reimbursement discrepancies with strong attention to detail
• Strong verbal and written communication skills with the ability to communicate professionally with insurance representatives, patients, and internal departments
• Excellent critical thinking, problem-solving, and follow-through skills
• Ability to work independently in a fast-paced, deadline-driven environment while maintaining accuracy and productivity
• Strong organizational and time management skills with the ability to multitask effectively
• Proficient in Microsoft Excel, including filtering, sorting, and basic formulas
• Experience with EMR/billing systems and insurance portals required

Compensation:

The base rate of pay for this position is $22.00 to $25.00 per hour. Actual pay is determined based on a number of job-related factors including skills, education, training, credentials, experience, scope and complexity of role responsibilities, geographic location, performance, and working conditions.

Benefits:

• Paid Sick Time

About Mountainside:

Mountainside Treatment Center is a dynamic, fast-paced and growing recovery facility that values innovation and an obsession with providing Best in Class service to our Clients. Founded in 1998, we are a leading behavioral healthcare provider dedicated to treating alcohol dependency and drug addiction. Accredited by The Joint Commission and CARF for its high standards of care, Mountainside seeks out passionate and talented individuals to join its staff. We believe that every employee, regardless of position, plays a vital role in our success.