Senior Billing Specialist

Talbert House•Cincinnati, OH

11d

About The Position

Handles the processing of sorting and receiving incoming payments with attention to accuracy along with managing the status of accounts/balances and identifying inconsistencies. Position Description: Appropriately assemble reimbursement claims, file and transfer to third party vendors. Assists with consistent and timely follow-up on unpaid claims, denials, exceptions or exclusions in various portals Issue and post bills, receipts and invoices; verify completeness & accuracy of all claims prior to submission; accurately post by line item and balance movement to subsequent payers Assist with medical record requests, completion of additional information requests, etc. as requested by payers, patients and providers Update claims management database with new accounts or missed payments Full understanding of primary, secondary, tertiary claims and ability to determine if CARC and RARC are accurate Complete forms, files and records in a confidential, accurate, timely manner, assuring completeness of all information and presence of all required documentation including refunds, recoupment request, adjustments, etc. Ensure all clients remain informed on their outstanding debts and deadlines; provide solutions to any relative problems for clients Write thorough reports on billing activity with clear and reliable data; ability to acquire and interpret payer eligibility and explanation of benefits Perform special projects of a moderate to complex nature; meet deadlines; filing appeals when appropriate Regularly meet with Billing Manager to discuss and resolve reimbursement issues or billing issues; regularly attend staff meetings and educational sessions Performs special projects of a moderate to highly skilled nature; ability to perform level 2 errors; ability to work claims and enrollments in Mental Health Board systems Other duties as assigned

Requirements

Proven experience as a billing specialist
Mental Health Recovery Services Board billing
Proficient in Excel (including V-Look up, pivot tables and moderate to advanced excel functions), navigating EHR/EMR portals & Claims management platforms
Electronic health record software
Excellent attention to detail; comfortable dealing with numbers and the processing of financial information
Results-driven and ability to manage stress in a fast-paced environment
Excellent customer service skills
Knowledge of medical billing, CPT & ICD-10 coding and collection process, and contract specifications
High School diploma or High School Equivalency (college degree preferred)
5 years of proven experience in billing

Responsibilities

Appropriately assemble reimbursement claims, file and transfer to third party vendors.
Assists with consistent and timely follow-up on unpaid claims, denials, exceptions or exclusions in various portals
Issue and post bills, receipts and invoices; verify completeness & accuracy of all claims prior to submission; accurately post by line item and balance movement to subsequent payers
Assist with medical record requests, completion of additional information requests, etc. as requested by payers, patients and providers
Update claims management database with new accounts or missed payments
Full understanding of primary, secondary, tertiary claims and ability to determine if CARC and RARC are accurate
Complete forms, files and records in a confidential, accurate, timely manner, assuring completeness of all information and presence of all required documentation including refunds, recoupment request, adjustments, etc.
Ensure all clients remain informed on their outstanding debts and deadlines; provide solutions to any relative problems for clients
Write thorough reports on billing activity with clear and reliable data; ability to acquire and interpret payer eligibility and explanation of benefits
Perform special projects of a moderate to complex nature; meet deadlines; filing appeals when appropriate
Regularly meet with Billing Manager to discuss and resolve reimbursement issues or billing issues; regularly attend staff meetings and educational sessions
Performs special projects of a moderate to highly skilled nature; ability to perform level 2 errors; ability to work claims and enrollments in Mental Health Board systems
Other duties as assigned