Billing Specialist

Join a purpose-driven team at Caron Treatment Centers, where for nearly 70 years, we’ve been helping people find a path to recovery from addiction and rebuild their lives. We offer real careers with real opportunities for growth, comprehensive training, and a commitment to work-life balance. Our benefits include generous paid time off, professional growth and development, company-paid life and disability insurance, tuition reimbursement, a competitive 401(k) plan, and robust  medical, dental, and vision plans .

We’re proud to foster a diverse and inclusive environment, with a culture of teamwork, compassion, and dedication to our mission. S tart a career that saves lives at a company that values yours!   Billing Specialist Monday-Friday 8am-4:30pm Candidates must have the ability to come to the Wernersville, PA campus 1 day per week, additional days as needed   BILLING SPECIALIST DUTIES AND RESPONSIBILITIES: Review patient account activity to obtain understanding of remaining outstanding amounts due from the patient or insurance funding sources.

  Contact third party payers on a timely basis to obtain claim processing status and clarification regarding claim payment denials.   Assertively pursue proper adjudication of claim with third party payer while serving as an advocate to both the organization and patient to receive maximum appropriate payment   Process necessary adjustments to the patient’s account to reflect net amounts due after scholarships and contracted discounts.

  Prepare timely and accurate patient statements and refund requests according to department policies and procedures and ensure proper mailing of same.   Respond to all phone calls from patients and private parties regarding any inquiry related to patient account status, including prior insurance payments or denials.

  Be able to properly communicate to patients all organizational policies regarding scholarship funding.   Work with appropriate responsible parties to arrange for payment plans or other funding alternatives according to department policy.   Prepare and coordinate all necessary documents and correspondence related to payment plans.

  Assists with the submission and processing of all accounts sent to external collection agency.   Communicate with the Supervisor of Patient Billing and Accounting regarding any potential adjustments to account balances.   Always maintain professionalism when communicating and resolving outstanding balances with patients and third-party funding sources.

  Work with internal departments to provide patients with any requested (and appropriate) information related to their treatment that may assist them with potential cost recovery.    Support other department members with revenue cycle functions during staffing shortages and absences.     Assist Department Leadership in achieving goals and objectives established by Senior Leadership for the department.

  Utilize the electronic systems and software so that maximum efficiencies are obtained and appropriately escalate issues related to such systems to the proper personnel.   Abide by any provisions outlined in Third Party Reimbursement Contracts when performing revenue cycle functions.    Maintain the integrity of all elements of the revenue cycle database when performing related revenue cycle functions.    Assist with the training and orientation of new employees as directed by Department Leadership.

  This job description reflects management’s assignment of essential functions; it does