Billing Specialist

Open Mind Health•Columbus, OH

12d•$15 - $18•Remote

About The Position

This position will own the coding and billing functions within Open Mind Health and will coordinate with others to assure error-free and appropriate RCM submissions to enable timely cash flow for the company. The lead will also engage in timely follow-up to billing disputes, claim denials, and any other intervening issue that has the potential to interrupt the flow of claims and subsequent payer remittances. This individual will also collaborate with client liaison representatives to offer insights and feedback on encounter readiness and closure processes to identify and rectify errors. Working as a team, the goal is to enable client-provider encounters that are expertly coordinated from end-to-end with zero defects in the spirit of Kaizen (continuous improvement).

Requirements

Two plus years working in a healthcare setting, preferably in behavioral/mental health working directly with patients/clients and with electronic health records (EHR) systems such as CharmHealth.
Experience working directly with major insurance carriers.
Demonstrated billing and coding experience and knowledge, and familiarity with revenue cycle management.
Excellent people skills to work with clients, payers, and colleagues.
Exceptional time management and attention to detail.
Ability to independently self-direct activities in a high-volume remote work environment.
Excellent problem-solving skills and demonstrable critical thinking abilities.
High orientation to continuous improvement.
Knowledge of ICD-10 and CPT codes and terminology.
Experience working remotely with minimal supervision but with ongoing monitoring.
Maturity and integrity when handling confidential information, including sensitive HIPAA-governed client information, including the ability to respond to legal information requests and client service inquiries.
Knowledge of Microsoft Excel, Word, and Outlook.
Excellent written and verbal communication skills.
Personal computer with functional camera and audio, second monitor, and reliable high-speed internet (no mobile phone tethering permitted).
Private and noise- and people-free work environment within the home.

Nice To Haves

Post-secondary education at AA or beyond is desirable.
Medical office certification is preferred.
Familiarity with Zoho CRM and Zoho Voice.
Has worked with a variety of payer portals including Aetna, Blue Cross Blue Shield, Optum, United, Kaiser Permanente, and more.

Responsibilities

Review completed encounters on an ongoing basis and submit to RCM or via other billing portals as required.
Communicate errors and coach/cheerlead others to identify recurrent issues in an effort to prevent them.
Track no-show appointments on spreadsheet and respond to processing directions based on comments by clinical leadership.
Communicate with insurance companies/referrers/payers to inquire regarding status of payments.
Bill for client responsibility amounts by credit card or invoice, for copays, deductibles, and no-show charges.
Meet bi-weekly with representatives from RCM vendor to ascertain payment flow and address any issues.
Works with and familiarizes self with the practices and policies of assigned insurance carriers.
Work with outsourced collections company to optimize past due receivables.
Uses personal computer to communicate by telephone, fax, email, text, EHR message.
Owns the client experience from end-to-end for groups of clients covered by specific health insurance carriers.
Other tasks and responsibilities as assigned.