Billing Specialist

2 weeks ago

Rajkot, Gujarat, India LifeLab Kids Full time

We are looking for an experienced Billing Specialist to join our team.

Responsibilities:

Understands the entire billing lifecycle – invoicing, claims submissions, post payments and collections using the Central Reach platform.

  • Provide administrative support to internal employees.
  • Identify billing inconsistencies and provide claims guidance
  • Process payments and make adjustments accordingly working with insurance companies to make sure claims get approved
  • Process denied claims through working with insurance companies and resubmit claims
  • Understand how to interpret EDI files
  • Knowledge of Behavioral Health type of billing codes is mandatory.
  • Maintains and updates fee schedules in software accordingly
  • Follows up on aging receivables
  • Contacts families regarding nonpayment of invoices which may include any of the following avenues: email, text, and phone call
  • Verify eligibility of insurance coverage, determine insurance coverage periods, update changes in the electronic record.
  • Provide reports on billing and collection activities as requested
  • Understands remittance posting and claim reviewing process
  • Assist with scheduling as needed.

Requirements:

  • 4+ years billing experience
  • Strong proficiency in Microsoft Excel, including experience in creating, analyzing, and maintaining reports using advanced Excel functions
  • Experience with Central Reach System is preferred
  • Knowledge of CPT and ICD-9/ICD-10 coding systems
  • Bachelor's Degree preferred

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