Behavioral Health Specialist Jobs

About The Position

Requirements

• 1-3+ years of hospital billing or Medicare collections experience.
• Inpatient Psych experience preferred.
• Experience with Medicare DDE/FISS preferred.
• Knowledge of Medicare billing rules and IPPS
• Familiarity with Medicare Secondary Payer (MSP) rules
• Strong analytical and detail-oriented skills
• Proficiency in billing systems and Microsoft Office

Responsibilities

• Monitor Medicare DDE (FISS) system for claim status updates including edits, RTP, and suspended claims.
• Correct claim errors, billing discrepancies, and coding-related issues.
• Investigate and resolve denied, zero-pay, or underpaid Medicare claims.
• Prepare and submit redetermination and reconsideration appeals.
• Work Medicare aging reports daily and prioritize high-dollar accounts.
• Communicate with Medicare Administrative Contractors (MACs) to resolve claim issues.
• Coordinate patient responsibility and secondary billing.
• Ensure compliance with CMS regulations and proper documentation.
• Other Collections activity as assigned

Benefits

• Medical
• Dental
• Vision
• 401(k) match
• Employer paid short term disability (STD)
• Employer paid life and AD&D Insurance
• Generous Paid Time Off
• Flexible Spending Account
• Tuition Reimbursement