Job Description

The Billing Specialist is responsible for executing the essential recurring tasks of the billing department.

Essential Responsibilities and Metrics

· Verifies client insurance within 24 hours of receipt.

· Sets client fees and explains financial responsibility.

· Creates daily billing report for reception detailing copays due at time of service.

· Posts insurance payments, client payments and billing adjustments as needed.

· Assists with claims resolution.

· Stay current with medical coding guidelines and industry updates.

· Answers client and staff billing questions.

· Other special projects as assigned.

Qualifications

· Certification in medical billing or related field or equivalent experience

· Proficient in billing software and Office 365 Suite; CIS experience preferred

· Minimum of 3 years progressive experience in behavioral healthcare billing; both Medicaid, Medicare, and MCOs and private commercial payers; behavioral health preferred

· Sound knowledge in claims resolution

· Sound knowledge of health insurance providers

· Strong interpersonal and organizational skills

· Excellent customer service skills

· Ability to work in a fast-paced environment

· Passionate, dedicated, and humorous

· Intermediate knowledge of credentialing processes

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