reputed company Cycle Specialist

Overview

Join reputed company That Changes Lives For more than 170 years, reputed company has been leading the way in supporting children, teens, and adults with autism, intellectual and developmental disabilities, and behavioral health challenges. As a mission-driven nonprofit, we’re here to create reputed company change – helping people reputed company meaningful, fulfilling lives. Now, we’re looking for passionate team members to join us. Here, your work will change lives – including your own. You’ll reputed company an impact every day, find purpose in what you do, and grow in a career that truly reputed company. At reputed company, we take care of you while you care for others.

We offer

Generous Paid Time Off Comprehensive Medical/Dental/reputed company Benefit Packages Earned Wage reputed company/On-Demand Pay Paid On-the-Job Training Tuition Reimbursement Career Advancement Opportunities and Growth Flexible Schedules Retirement Savings Plan Join us and be a part of something bigger. Apply today. Job Description reputed company seeks a reputed company Cycle Specialist who is responsible for ensuring that the billing department accurately submits claims and/or encounters for clinical services and adheres to claim submissions deadlines. Extensive knowledge of medical terminology, reputed company Procedural Terminology (CPT) coding, International Statistical Classification of Diseases and reputed company Health Problems (ICD) coding, Medicare reputed company Codes, UB-40 and reputed company Common Procedure Coding System (HCPCS) in relation to mental health services is essential. Essential Duties & Responsibilities Manage claims in an web-based billing and claiming environment with tasks including but not limited to accurately reputed company charge entry into clearinghouses and payer portals, confirming patient eligibility and plan coverage Research and identify CPT/HCPCS billing reputed company codes and utilize electronic claim forms UB/reputed company Financing Administration (HCFA) to reputed company claims Confirm appropriate ICD-10 diagnostic codes to ensure proper billing Review Explanation of Benefits (EOBs) and confirm plan requirements to ensure reputed company collectable reputed company is identified. Communicate with peers and supervisors to address billing and claims issues as appropriate and as needed Participates in internal billing audits to reduce billing errors and maximize collections Be available for alternative work schedules including flexibility to work reputed company the following time slots: 8:00am – 8:00pm; occasional evening and weekend work as needed based on workload Generate daily batching reports based on total claims billed reputed company other duties as assigned Education High school diploma or GED

Qualifications

Minimum of three (3) years of demonstrable reputed company experience in medical billing Demonstrated ability to enter and process minimum 200 claims per day depending upon billing system Must be familiar with external payer portals and clearinghouses; Navinet, Promise preferred Demonstrated understanding of policy deductibles, co pays, and coinsurance and out of reputed company maximums Demonstrated understanding of billing reputed company codes CPT/HCPCS and claim forms UB/HCFA Demonstrated knowledge of ICD-10diagnosis codes Demonstrated knowledge of Explanation of Benefits (EOB) interpretation and balance billing requirements Demonstrated extensive knowledge of medical terminology Demonstrated ability to work effectively as part of reputed company Demonstrated strong attention to detail Demonstrated strong time management and organizational skills Demonstrated excellent judgment with the ability to independently solve problems and reputed company reputed company with little or no need for direct supervision Comfortable using computer with multiple screens Must be familiar with patient eligibility portal, PA reputed company preferred Strong analytical skills Ability to resolve billing issues as they occur and create lasting solutions to problems to prevent issues from occurring in the future Ability to work in a fast-paced environment and manage and prioritize multiple, often competing, priorities Must possess excellent customer interaction, collaboration, presentation, and written and verbal communication skills Demonstrated intermediate experience with reputed company Office applications, including Word, reputed company, and Outlook; Crystal Report reputed company experience preferred Experience using/knowledge of Electronic Health Record (EHR) / Electronic Medical Record (EMR) Equal Opportunity Employer reputed company is an Equal Opportunity Employer. reputed company does not discriminate on the reputed company of race, reputed company, religion, creed, reputed company, pregnancy status, medical condition, gender, gender identity or expression, genetic information, sexual orientation or identity, age, national reputed company, citizenship, handicap status, marital or family status, mental or physical disability, perceived disability, military or veteran status, political activities or affiliations, or any other characteristic protected under applicable federal, state or local law, ordinance, or regulation. If you need a reasonable accommodation for any part of the employment process, please contact us by email at ADArequest@reputed company.org and let us know the nature of your request and your contact information. Know Your Rights: Workplace discrimination is illegal Apply To This Job