We are looking to hire a competent and specialized Medical Billing Specialist for a behavioral health organization. The successful candidate will be responsible for dealing with medical coding, handling insurance claims, payment processing, and a wide array of medical billing tasks.
Responsibilities:
- Handling and overseeing all aspects related to medical billing and coding for patient services.
- Managing and submitting claims to insurance companies.
- Ensuring prompt and accurate billing of services to maximize revenue.
- Verifying insurance benefits and coverage for patients.
- Regular follow-ups with insurance providers on unpaid claims.
- Updating patient records with billing and personal details.
- Implementing and adhering to procedures for managing behavioral health billing processes.
- Solving patient billing complaints and inquiries.
- Coordinating with treatment providers to ensure proper billing information exchange.
- Maintaining patient confidentiality and complying with all federal and state health information privacy laws.
- A bachelor's degree in health administration, health management, nursing, or a related field. A certified professional coder (CPC) or certified medical coder (CMC) certification would be a plus.
- Minimum of 3 years of experience in a similar role as a Billing Clerk or Medical Billing Specialist.
- Prior experience in a medical billing role, preferably in a behavioral health setting.
- Proficiency in medical coding including ICD-10, CPT, and HCPCS.
- Knowledge of medical billing regulations, insurance procedures, and billing software.
- Strong organizational skills with an exceptional ability to multitask and prioritize.
- High level written and verbal communication skills.
- Ability to work efficiently under pressure and meet deadlines.
- Familiarity with health information privacy laws and a commitment to maintain patient confidentiality.
- Strong attention to detail and problem-solving abilities.