Billing Specialist

Acadia Healthcare•Franklin, TN

6d•Remote

About The Position

The Billing Specialist is responsible for daily accounts receivable data entry and billing. To assist with increasing collections, reducing accounts receivable days, and reducing bad debt.

Requirements

High school diploma or GED equivalent required; p refer some college or technical school coursework.
2+ years of healthcare billing experience, preferred.
Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.
Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
Self-motivated with strong organizational skills and superior attention to detail.
Must be able to manage multiple tasks/projects simultaneously within inflexible time frames.
Ability to adapt to frequent priority changes.

Nice To Haves

Healthcare payor claims follow-up or accounts receivable, preferred.
Healthcare background with payor appeals experience, preferred.

Responsibilities

Responsible for the timely verification of insurance benefits provided via websites and/or calling the payor.
Responsible for updating patient Billing Episodes and crediting account, as appropriate.
Obtain precertification and authorizations for services being rendered
Review and resolves prior authorization/precertification/referral issues that are not valid and contacts insurance carriers to verify/validate requirements to ensure accuracy and avoid potential denial.
Validates all necessary referrals/prior authorizations/pre-certifications for scheduled services are on file and shared with all appropriate staff and are valid for the scheduled services performed.
Ensure all account activity is documented in the appropriate system and shared with all appropriate staff timely and thoroughly.
Clinic Emails - responsible for managing clinic emails throughout the day (i.e., re-verification requests, balance inquiry, etc.). All clinic emails must be responded to by close of business daily.
Identify and forward potential reimbursement problems to Revenue Cycle Manager .
Proactively interacts with Clinics and other appropriate staff sharing benefits, authorizations and eligibility.
Responsible for billing all patient claims in a timely manner (weekly billing, secondary and out-of-network plans).
Review claims issues make corrections as needed and rebill.
Utilize claims clearinghouse to review and correct claims and to resubmit electronically when available.
Responsible for evaluating bill cycles and changing/updating when necessary.
Responsible for printing daily billing reports - both electronic and paper claims.
Monitor validation percent.
Work daily claims rejection lists including but not limited to; claims rejected due to auto eligibility process during weekly billing and “Rejected” claims due to eligibility, coordination of care and authorization as part of accounts receivable.
Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
Gathers and interprets data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.