Reimbursement Specialist
COLLIN COUNTY MENTAL HEALTH RETARDATION CENTER
Summary
Performs moderately complex medical billing and account receivable follow up functions.
Job description
Primary Responsibilities
- Batch/submit claims to multiple insurance companies
- Post payments and track reimbursement
- Enter EOB correspondence, payments, and denials in EHR system
- Re-work rejections, conduct reconsiderations and appeals
- Submit medical records and reconcile issues with insurance companies
- Understand dual coverage plans to ensure accurate billing
- Utilize various reports in EHR to monitor claims and accounts receivable to align with KPIs
- Communicate with peers, consumers and management regarding insurance or claims issues
- Assist and/or serve as backup in any billing area and other duties as requested by supervisor
Qualifications
- Minimum High School diploma or General Education Degree (GED)
- Two (2) years related experience and/or training, or equivalent combination of education and experience
- Knowledge of billing and coding requirements, insurance industry standards
- Knowledge of insurance benefits, primary and secondary billing requirements
- Must be proficient with claims clearinghouse experience
- Preferences: Minimum 3 years' billing experience; CPB or CPC certification
Knowledge, Skills, and Abilities
- Proficient in billing guidelines, claims processing standards, and denials management
- Good communication skills, well organized, self-starter, ability to complete assigned duties in a timely manner
- Knowledge of MS Word, Excel, medical practice management systems and computer operational skills
- Must have a valid Texas driver's license
Requirements
- Minimum High School diploma or General Education Degree (GED)
- Two (2) years related experience and/or training, or equivalent combination of education and experience
- Knowledge of billing and coding requirements, insurance industry standards
- Knowledge of insurance benefits, primary and secondary billing requirements
- Must be proficient with claims clearinghouse experience
- Proficient in billing guidelines, claims processing standards, and denials management
- Good communication skills, well organized, self-starter
- Knowledge of MS Word, Excel, medical practice management systems and computer operational skills
- Must have a valid Texas driver's license
Company overview
Collin County Mental Health Retardation Center is a public mental health and intellectual disability service provider serving residents of Collin County, Texas. As a county-operated healthcare organization, it delivers comprehensive behavioral health services, developmental disability support, and mental health treatment programs to individuals and families in need. The center provides critical services including crisis intervention, counseling, case management, psychiatric care, and support for individuals with intellectual and developmental disabilities. Operating as part of the local government's public health infrastructure, it plays a vital role in addressing mental health needs within the community through evidence-based treatment approaches and community outreach programs. The organization focuses on improving quality of life for clients through integrated care models that address both mental health and developmental disability needs, while working to reduce stigma and increase access to essential behavioral health services in the region.