Behavior Health Billing Coordinator

LifeView Group•Pensacola, FL

About The Position

This position is responsible for accurately submitting, tracking, and posting behavioral health and substance abuse facility provider claims. The coordinator uses analytical skills to solve problems, works with the EHR business system to input and monitor claims, follows up on claim status, and processes appeals. The role requires proficiency and accuracy in verifying patient insurance and determining primary coverage. The coordinator manages appeals and works with insurance companies to resolve claims. The position also supports billing-process improvements by researching and identifying new and existing billing codes and techniques, and collaborates with LCI central client registration, medical records, and insurance companies to identify billing practices that maximize reimbursement for the Lakeview facility. Assignments are expected to be completed with considerable independence. The coordinator must maintain strong attention to detail and comply with facility policies and procedures, contract requirements, organization bylaws, and applicable federal and state regulations and laws.

Requirements

Associate (AA) degree, or a high school diploma or GED with five years of related experience in lieu of the degree.
Three years of relevant business experience; five years of related experience if substituting a high school diploma or GED for the degree.
Strong verbal and written communication skills.
Good organizational skills and a high level of accuracy.
Ability to solve problems and know when to request assistance.
Ability to maintain professional, effective working relationships with internal and external customers.
Proficient computer skills, including Microsoft Office 2010.
Must pass organization screening requirements, including applicable state or federal background screenings.

Responsibilities

Accurately submit, track, and post behavioral health and substance abuse facility provider claims.
Use the EHR business system to enter and monitor claims, follow up on claim status, and process appeals.
Verify patient insurance accurately and determine which insurance is primary.
Manage the appeals process and work with insurance companies to resolve claims.
Research and identify new and existing billing codes and techniques to help enhance billing processes.
Work with LCI central client registration, medical records, and insurance companies to identify billing practices that maximize reimbursement for the Lakeview facility.
Complete assignments with considerable independence while maintaining attention to detail and compliance with applicable policies, procedures, contract requirements, bylaws, and laws.