Outpatient Billing Specialist

Billing and Collection

Billing and collection of behavioral health outpatient services via complex, service-specific accounting/insurance system.

Essential/Core Job-specific Duties And Responsibilities

• Cordination and communication with various outpatient staff regarding patient information including, but not limited to, diagnostic coding, policy-holder information, and patient benefits.
• Complete all pre-billing processes and edits for assigned payer sources.
• Process outpatient billings to assigned payer sources.
• Process explanation of benefits (EOB’s) from assigned payer sources, including posting of payments, rebilling co-pays and/or deductibles, and adjusting receivables accordingly.
• Process denials by coordinating with Utilization Review department where necessary, communicating with insurer, providing additional documentation, submitting corrected billings, or any other step required based upon denial code.
• Review aged receivables report for assigned payer sources on a monthly basis for outstanding balances.
• Perform necessary follow-up.
• Review accounts receivable greater than ninety days with DP/Billings Supervisor.

Qualifications

Not specified.

Skills

Not specified.

Benefits

Competitive benefits for our full-time positions to include health, dental, vision, basic life insurance, long term disability, paid time off, and more.

Pay

Not specified.

Schedule

Not specified.