Medical Billing Specialist

ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES IN•Anchorage, AK

7d•$20 - $25•Onsite

About The Position

The Administrative Teams at Alaska Behavioral Health work behind the scenes to ensure smooth daily operations for both our staff and our clients. This role is responsible for submitting client billing charges, processing remittances, posting payments, verifying prior authorizations, researching denials, reviewing client statements, and working past due accounts to reduce aged receivables.

Requirements

Three or more years of Medical billing experience required.
At least 2 years of experience working in a computerized billing department required.
Ability to communicate effectively, both verbally and in writing, and understand the English language.

Nice To Haves

At least 2 years of experience working in a high volume billing department preferred.
Billing/coding certification preferred.

Responsibilities

Submitting client billing charges (electronic and paper) and batching submissions for all payer types.
Processing weekly Medicaid remittance advices (RAs) and Medicare and commercial insurance EOBs.
Posting payments to client accounts and transferring balances to other payer sources as appropriate.
Applying contractual adjustments as appropriate.
Verifying initial prior authorization (PA) information submitted by providers.
Scanning processed PAs into the department’s internal system and entering PAs into the agency’s billing software program.
Updating exhausted PAs and obtaining additional PA units from the state’s fiscal agent.
Researching all denials and initiating claims resubmissions.
Initiating appeals when appropriate.
Identifying refunds when applicable.
Reviewing monthly client statements with outstanding patient balances for accuracy.
Researching outstanding balances and identifying needs for fee sets and/or additional payer source(s).
Working past due accounts and reducing the aged receivables for all payer types.
Auditing accounts for payments and adjustments and correcting when necessary.