Billing Specialist

About the role

The Billing Specialist will be responsible for timely, effective, and efficient revenue cycle tasks to ensure accurate claim submission and receipt of payment. The position is full-time, 40 hours per week.

Responsibilities

• Receives incoming questions from clients, payers and/or clinicians regarding client accounts; initiates data submission for any additional information needed, and interprets information back to the client, payer and/or clinician.
• Verifies insurance coverage, co-payment, and coordination of benefits and updates client billing information accordingly.
• Maintains current knowledge regarding public payers, third-party and first-party payment procedures and regulations.
• Monitors dashboard and runs reports routinely to monitor and initiate corrective actions as necessary to ensure accuracy and completeness of billing, service and charge information for timely submission.
• Maintains and completes paper correspondence follow-up from assigned payers in a timely and efficient manner.
• Investigates denials from payers and initiates timely follow up.
• Maintains and ensures timely filing and payment of claims.
• Identifies trends in claims denials and effectively communicates potential project opportunities for payer issues with Claims Coordinator.
• Participates in various aging clean-up projects when required.
• Keeps current with trends and developments related to essential job competencies and demonstrates continued growth.

Requirements

• Certificate in Medical Billing or an associate degree in business, healthcare, accounting, or closely related field required, or may substitute four years related experience in lieu of degree.
• Demonstrated knowledge and understanding of health/behavioral health billing procedures and eligibilities for third-party providers preferred.
• Previous coding experience in a behavioral healthcare setting preferred.
• Strongly prefer prior experience in customer service and behavioral health setting.
• Must have strong attention to detail and be able to communicate effectively with various individuals.
• Competent computer/PC skills using Microsoft Office 365, Excel, and electronic health record systems.
• Must be able to establish daily work priorities and work independently and efficiently to meet deadlines.
• Must be honest, dependable, self-disciplined, organized and be able to work well as a team member.