Medical Billing Specialist

Cyti Clinics•Las Vegas, NV

2d•Onsite

About The Position

Cyti Corp is looking for a well-rounded, experienced, and proficient medical biller/coder to join our team! The candidate will be highly organized and can work independently to ensure timely filing of claims, A/R follow-ups, and payment posting. This is an in office position located in Las Vegas, Nevada. There will be inbound calls from patients for payments as well as outbound calls to various insurance payers for benefit verification, authorization, claims status, denials, and appeals.

Requirements

3+ years of Mental Health medical billing experience required
Demonstrate and apply knowledge of medical terminology and general medical office procedures including HIPAA regulations
Knowledge of insurance processes and billing guidelines/regulations required.
Experience with EHR
Experience with AdvancedMD
Knowledge of ICD-10/CPT/HCPCS coding
Knowledge of DSM V
Proficient use of computers including Microsoft Office applications
Skilled in 10-key by touch and keyboarding
Ability to operate general office equipment
Exceptional verbal and written communication skills
Excellent attention to detail and ability to multi-task
Ability to work with minimal supervision, independently, as well as in a collaborative team setting
Strong organizational skills with the ability to prioritize and meet deadlines
Knowledge of Commercial and/or Government Payors
Ability to identify, research, and resolve credit balances, missing payments, and unposted cash as it pertains to billing account follow-up

Nice To Haves

AdvanceMD experience a plus

Responsibilities

Resolve insurance claim rejections/denials, and non-payment of claims by payors.
Identify trends in billing and follow-up, maintaining a working knowledge of state and federal billing guidelines in order to identify ways in which our patients can expedite resolution of insurance accounts and identify delays in processing.
Responsible for drafting effective appeals to insurance companies for reimbursement of monies owed.
Responsible for maintaining the daily accounts, follow-up work lists within the department while maintaining the organization’s productivity standards.
Ensure compliance is met and process claims in accordance with contracts and policies, as well as to adjudicate claims as appropriate.
Responsible for identifying, researching, and resolving credit balances, missing payments, and unposted cash as it pertains to billing account follow-up.
Process, and maintain, within expectation, all correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of payment.
Responsible for handling patient disputes and submission of issues to coding for review to ensure organizational and revenue cycle processes are followed.
Communicate appropriately with insurance companies, patients, co-workers, and supervisors.
Verify insurance benefits, obtain authorization as required by plans.
Perform other duties as assigned.