Billing Specialist I
About The Position
Southwest Behavioral and Health Services is seeking a dedicated and detail oriented Billing Specialist who can help us fulfill our mission. “Delivering compassionate care to enhance lives and improve communities”. We are seeking someone who enjoys coordinating with people, organized and excellent communication skills. Does this describe you? If so, you may be the person we are looking for to join our dynamic Client Financial Dept team! Billing Specialist I is responsible for accurate and timely billing of electronic and hardcopy Behavioral Health claims. Creates and submits a large volume of electronic HCFA claims via the 5010 837p formats. Creates and submits electronic copy UB04 claims for SBH Level I services. Responsible for creating reports from SBH systems to identify billed/denied/paid services and work to completion. Ensures 95% of claims are billed within 2 months. Resolves issues with unpaid claims to ensure 90% of claims are in a paid status within 5 months. This is a remote position, but the candidate must reside in AZ, preferably in Maricopa County.
Requirements
- High School Diploma or G.E.D.
- Minimum 1 - 2 years medical billing experience, which includes at least 1 year of electronic, claims submission required.
Nice To Haves
- Associates degree preferred.
- Commercial insurance billing and accounts receivable experience preferred.
- Experience with a variety of contractual reimbursement arrangements.
- Medical and Billing Certification preferred.
Responsibilities
- Creates and submits a large volume of electronic HCFA claims via the 5010 837p formats.
- Creates and submits electronic copy UB04 claims for SBH Level I services.
- Responsible for creating reports from SBH systems to identify billed/denied/paid services and work to completion.
- Ensures 95% of claims are billed within 2 months.
- Resolves issues with unpaid claims to ensure 90% of claims are in a paid status within 5 months.
- Excellent customer service skills required.
- Submits timely and accurate electronic and/or hardcopy behavioral health claims. (New, Resubmit, and Adjustments)
- Identifies, researches, and resolves unbilled encounters and escalates issues to Manager as needed to ensure 95% of claims are billed within 2 months.
- Identifies, researches, and resolves denied encounters within 6 months of service date.
- Identifies, researches, and resolves unbilled FFS claims and escalates issues to Manager as needed to ensure 95% of claims are billed within 2 months.
- Identifies, researches, and resolves denied FFS claims within 6 months of service date.
- Creates reports of billed/paid/not-billed etc. for bi-weekly review with Billing Manager.
- Keeps Manager informed of bi-weekly production of claims and problems interfering with successful claims submission.
- Responsible for thorough understanding of SBH, RBHA, and other payer billing requirements and procedures.
- Responsible for accurate record keeping of claims billing.
- Assists in maintaining claim billing process and procedure manuals.
- Utilizes Manager and the CFS team to discuss, enhance, and resolve issues.
- Additional job duties may be required to meet the needs of the program and or department.
Benefits
- 3.3 weeks of PTO your 1st year of employment, with increased accruals after continued service!
- 10 paid holidays
- Low-cost medical, dental and vision insurance, short-term/long-term disability and life insurance for employees
- 40% company match up to a 10% deferral into your SB&H retirement account!
- Career Development – Benefit from our culture of internal promotion!
- Tuition reimbursement program & discount degree programs!
- Employee Assistance Program, Health & Wellness and much more!
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
