Billing Specialist

Harbor • Toledo, OH

44d • Onsite

About The Position

This individual is responsible for timely, effective and efficient revenue cycle tasks to ensure accurate claim submission and receipt of payment.

Requirements

• Certificate in Medical Billing or an associate degree in business, healthcare, accounting, or closely related field required, or may substitute four years related experience in lieu of degree.
• Demonstrated knowledge and understanding of health/behavioral health billing procedures and eligibilities for third-party providers preferred.
• Previous coding experience in a behavioral healthcare setting preferred.
• Strongly prefer prior experience in customer service and behavioral health setting.
• Must have strong attention to detail and be able to communicate effectively with various individuals.
• Competent computer/PC skills using Microsoft Office 365, Excel, and electronic health record systems.
• Must be able to establish daily work priorities and work independently and efficiently to meet deadlines.
• Must be honest, dependable, self-disciplined, organized and be able to work well as a team member.

Nice To Haves

• Demonstrated knowledge and understanding of health/behavioral health billing procedures and eligibilities for third-party providers
• Previous coding experience in a behavioral healthcare setting
• Prior experience in customer service and behavioral health setting

Responsibilities

• Receives incoming questions from clients, payers and/or clinicians regarding client accounts; initiates data submission for any additional information needed, and interprets information back to the client, payer and/or clinician.
• Verifies insurance coverage, co-payment, and coordination of benefits and updates client billing information accordingly.
• Maintains current knowledge regarding public payers, third-party and first-party payment procedures and regulations.
• Monitors dashboard and runs reports routinely to monitor and initiate corrective actions as necessary to ensure accuracy and completeness of billing, service and charge information for timely submission.
• Monitors and completes paper correspondence follow-up from assigned payers in a timely and efficient manner.
• Investigates denials from payers and initiates timely follow up.
• Monitors aging and ensures timely filing and payment of claims.
• Identifies trends in claims denials and effectively communicates potential project opportunities for payer issues with Claims Coordinator.
• Participates in various aging clean-up projects when required.
• Keeps current with trends and developments related to essential job competencies and demonstrates continued growth.

Benefits

• Medical, dental, and vision coverage
• Retirement plan with company match
• Generous paid time off, sick time, and paid holidays
• Tuition and professional license reimbursement programs
• Clinical supervision hours offered
• Opportunity to make a difference in your community!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree