Job Description
Wellness Grove is a mental health and wellness organization that's here to make a difference and transform lives. We're looking for talented and career-driven individuals to join our team. Our work environment is diverse, family and wellness oriented, fast-paced, challenging, and rewarding. If you're looking for an opportunity for growth and development in your career, please send us your resume for consideration and review.
Reports To:
Medical Billing Manager Working Hours:
(40 hours/week) Monday through Friday, 8am to 5pm EST Starting Pay:
$52,000/year Start Date:
Immediate Benefits:
Incentive Programs Vacation/PTO Bonuses & Recognition Advancement Opportunities Staff/Team Resources Learning & Development Additional Perks Location:
Canton, OH Work Remotely:
No Required Experience & Expectations:
At least 5 years experience in medical billing or mental health, insurance handling, and other billing practices, processes, and procedures At least 2 years experience with an EHR system where insurance claims, billing, etc. is done Knowledge of mental health billing practices Intermediate Knowledge of Office 365 (Word, Excel, PowerPoint, etc.) Able to handle multiple roles and responsibilities Acute attention to detail Able to work in a fast-paced environment Able to be proactive Motivated and driven for success Able to keep cool under pressure and always maintain a positive and motivated attitude Looking to build a long-term career with Wellness Grove Preferred Experience & Expectations:
(not required) Experience with mental health billing Experience with TherapyNotes electronic health records (EHR) platform Experience with credentialing mental health therapists with insurance carriers Bachelors or Masters Degree in Business Administration or related field Roles & Responsibilities:
Assisting with the handling, reporting, and other processes regarding all payment transactions, merchant services, and accounting aspects Advocate for the maximum amount of hours our clients can receive Ensure that the insurance companies we bill are billing the correct hours and rates Act as a liaison between the insurance companies and Wellness Grove Assist in the handling of multiple specialty teams (internally and externally) which include, but are not limited to: billing, benefit verification, claims and collections Routinely conduct audits and analysis to ensure optimal claims processing and reimbursement Maked recommendations for operational change and staff education to billing oversight (including Senior Medical Billing Specialists) Report to billing oversight on payer issues in order to ensure that the organization is compliant with federal and state regulations Monitor and report on key metrics, including but not limited to cash collections, net A/R days, aging, initial denial rates, underpayments, clean claims %, write-offs, payment-to-charge percentage Proactively perform root cause analysis and develop action plans when metrics do not meet internal goals or industry best practices (with direction and leadership from billing oversight) Inform billing oversight about trends and issues impacting performance. Summarize detailed data in a clear and concise manner so that information is actionable and in an easy-to-understand format Contact insurance companies for payment requests, overdue payments, denied claims, arrangement payments, and resolution of claim issues Ability to problem-solve regarding overpayments and underpayments (with collaboration and leadership from billing oversight) Maintains required billing records, reports, files, etc. Verify and complete charge information in a database and submit claims to insurance companies Works collaboratively in a team environment with a spirit of cooperation Assist in insurance audits as they arise (when directed by billing oversight and through instructions) Identify and communicate to billing oversight any holes in the current billing process and suggest methods of improvement Answers main telephone line, determining if caller can be helped based on need or whether they need to be routed to another staff member, as appropriate Benefits of Working at Wellness Grove:
Opportunities to Increase Compensation:
We offer various incentive programs that allow you to increase your base pay. Advancement Opportunities:
Grow within the company by taking advantage of leadership roles. Learning & Development:
Receive support in developing your areas of expertise and/or creating new ones! Bonuses & Recognition:
Feel appreciated and celebrated for the work that you do. Starting Vacation/PTO:
Receive 2 weeks paid vacation or paid time off, with increases over time. A Note on Healthcare Coverage:
While we do not currently offer traditional healthcare benefits, we are deeply committed to your overall well-being. Through meaningful compensation, opportunities for growth, work-life balance, and a culture of recognition, Wellness Grove empowers you to invest in your health and life in ways that best support your individual needs. As we continue to grow, we remain dedicated to exploring ways to expand our benefits offerings in the future. Wellness Grove, LLC is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, protected veteran status, disability, or any other basis protected by federal, state, or local law. Applicants have rights under Federal Employment Laws. Wellness Grove does not employ anyone, whether as a W2 or 1099, that is under the age of eighteen. Job Type:
Full-time Pay:
From $52,000.00 per year Benefits:
Paid time off Experience:
medical/mental health billing; insurance & claims processes: 5 years (Preferred) Ability to Commute:
Canton, OH 44718 (Required) Work Location:
In person
