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Lead Billing Specialist

Grow Through Life Counseling

Lead Billing Specialist

San Diego, CA
Full Time
Paid
  • Responsibilities

    The Lead Billing Specialist is a vital team member of the Support Team at Grow Through Life Counseling! Responsibilities include accurate and timely submission of claims to insurance companies, collaborating with the clinical team in supporting the billing needs of their clients, as well as timely follow-up and correspondence with clients and insurance inquiries. The Lead Specialist will assist in the process and procedure improvements to maximize revenues and oversee the two other billing specialists. Hiring for a full-time position - 40 hours per week. Prior medical or behavioral health billing experience of a minimum of 1+ years is required. Option to work remotely. Must be based in San Diego, CA. Responsibilities: • Review and submit completed claims through TherapyNotes • Process incoming ERAs; review each insurance payment for accuracy and compliance with the contract • Call insurance companies regarding discrepancies in payment and outstanding claims in a timely manner • Answer insurance communications (telephone, email, snail mail, fax) • Answer patient communications • Research and appeal denied claims • Verification of client insurance eligibility/benefits for copays and deductibles • Intermediate between active-duty clients and Tricare to ensure authorizations are received timely and cover scheduled visits • Setting up patient payments and working on outstanding accounts Qualifications: • Customer service skills for interacting with patients and insurance representatives in a calm manner regarding payments • Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA) • Attention to detail • Competent use of computer systems • Effective communication abilities for phone contacts with insurance payers to resolve issues • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections Compensation: $20 - $25 hourly

    • Review and submit completed claims through TherapyNotes • Process incoming ERAs; review each insurance payment for accuracy and compliance with the contract • Call insurance companies regarding discrepancies in payment and outstanding claims in a timely manner • Answer insurance communications (telephone, email, snail mail, fax)   • Answer patient communications • Research and appeal denied claims • Verification of client insurance eligibility/benefits for copays and deductibles • Intermediate between active-duty clients and Tricare to ensure authorizations are received timely and cover scheduled visits • Setting up patient payments and working on outstanding accounts