Billing Specialist (54816)

CAYA Collaborative Care•Hopkinsville, KY

15d•$18 - $18•Onsite

About The Position

The Billing Specialist is responsible for the accurate and timely processing of claims. The Billing Specialist will maintain AR for assigned payers and report any ongoing issues to the Billing Manager. The Billing Specialist will be expected to reach out to payers when issues arise.

Requirements

High school diploma or equivalent is required
Microsoft Office/Excel is required
Comprehensive knowledge of ICD-10, CPT, and HCPCS coding
Good oral and written communication skills
Ability to multitask and work efficiently in fast-paced environment
Must pass a legally required Criminal Record Check and a Sexual Offender Registry check
Must be able to work in a group setting with other billing specialists

Nice To Haves

Prior experience of 1 – 2 years in claims and billing preferred
Billing or administrative experience in the Developmental Disabilities and/or Behavioral Health (Mental Health and Substance Use) field is preferred
Availity, KY Medicaid, software experience is helpful

Responsibilities

Managing payer and patient accounts receivables
Working correction tickets for billings before or after payment has been received
Submitting claims electronically through Availity Revenue Cycle Management and other clearinghouses
Submitting secondary claims through Availity Revenue Cycle Management and preparing and mailing paper claims
Making corrections to claims that have been scrubbed for errors in Availity before submitting
Working claim denials through CareLogic
Calling payers to appeal denials and working closely with payer representatives to correct erroneous denials
Answering client questions regarding account balances
Data entry
Other duties as assigned by the Revenue Cycle Manager or Billing Supervisor