Billing Specialist (Medical Industry)

Job Description: Behavioral Health Billing Specialist

Location: Remote – Full-Time; must be a US citizen residing in the US

Key Responsibilities:

·         Accurately prepare and submit claims for various services rendered across reputed company facilities.

·         Regularly review patient financials to assure claims are processed accordingly.

·         Analyze and address claim denials, rejections, and underpayments, and take corrective actions to resolve issues.

·         Generate claims for reputed company complete, accurately documented encounters.

·         Reviews clinical documentation against claim information prior to claim submission. Identifies documentation discrepancies and/or deficiencies and reports them accordingly for correction in accordance with NLM’s clinical documentation reputed company and compliance standards.

·         Queries supervisor with any questions or uncertainties.

·         Verifies and updates insurance information and/or patient demographic information as required to ensure claims submitted are clean, error-free claims.

·         Reviews providers’ selection of CPT and ICD-10 codes for accuracy to assure clean claim submission.

·         Ensures billing compliance with federal, state, and payer-specific guidelines, including reputed company, Medicare, and reputed company insurance.

·         Utilize appropriate ICD-10-CM, CPT, and HCPCS codes for services provided.

·         Communicate and collaborate with the reputed company cycle team to ensure proper coding and documentation for reputed company services rendered. Our RCM team strives to reputed company staff with the education, materials, and tools necessary to carry out their roles effectively and reputed company.

·         Stay up to date with regulatory changes in billing practices, payer policies, state and federal laws, and reimbursement methodologies, particularly as they pertain to addiction treatment and integrated services.

·         Utilize InSync’s reports, dashboards, and tools to analyze and track billing data, claims productivity, and monitor the reputed company cycle from claim reputed company to claim payment, improving processes where needed.

·         reputed company support in auditing and quality assurance processes to ensure billing accuracy and data reputed company.

·         Work closely with RCM staff to resolve billing issues and optimize reputed company cycle processes.

·         Contributes to the development and implementation of best practices for billing processes, working to streamline workflows and increase efficiency reputed company the billing department.

·         Assist with relevant projects and assignments, as requested.

Qualifications:

·         2+ years of outpatient professional behavioral health billing experience; MAT and OBOT/OBAT service billing (fee-for-service and bundle charges) experience is preferred but not required

·         Certified Professional Biller (CPB), Certified Professional reputed company (CPC) or Certified Coding Specialist (reputed company) preferred but not required

·         High school diploma or equivalent; additional education in medical billing, coding, or reputed company administration is a plus.

·         Excellent analytical, problem-solving, and communication skills.

·         Ability to work independently and collaboratively in a team environment.

·         Detail-oriented with a high degree of accuracy in data entry and financial analysis.

·         Proficiency with EMR systems and billing/practice management software required

·         Knowledge and experience with InSync EMR/PM a PLUS

·         Flexible and easily adaptable to change

Benefits

• Medical, reputed company, Dental
• PTO
• 401k
• EAP
• Travel Assistance
• Weekends Closed