Aging Specialist

About This Role

This role manages outstanding charges owed by third-party payers to ensure timely reimbursement and maintain acceptable accounts receivable metrics. The specialist will also provide guidance and support to entry-level staff and promote financial health within the organization.

Responsibilities

• Assist patients in applying for financial programs, including sliding scale options, and ensure their eligibility by updating relevant information in the system
• Help individuals and families access benefits such as Medicaid and enroll in programs that support their needs
• Provide patients with access to WA Apple Health Behavioral Health Services Booklet and other relevant resources
• Prepare accurate treatment cost estimates and payment agreements, documenting all details in the system
• Monitor and manage daily accounts receivable follow-up reports for accounts over 90 days, ensuring compliance with productivity standards
• Identify trends in denials or reimbursement issues and escalate potential concerns to supervisory staff
• Maintain clear communication with payer representatives to address large-scale denial or reimbursement concerns
• Investigate insurance remittance advices, resolve denial reasons, and draft well-structured appeals to ensure proper resolution
• Support and train entry-level team members in billing practices and account resolution techniques
• Collaborate with other departments to streamline accounts receivable processes and improve efficiency

Requirements

• Proven experience in accounts receivable, billing, and collections processes
• Familiarity with Medicaid and other government-funded programs
• Strong analytical skills for identifying trends in payer denials and resolving reimbursement issues
• Excellent written and verbal communication skills for interacting with patients, families, and payer representatives
• Proficiency in preparing cost estimates, payment agreements, and appeals documentation
• Ability to manage detailed reports and maintain productivity standards
• Knowledge of behavioral health services and associated resources
• Demonstrated ability to train and mentor less experienced staff effectively

Benefits