
Billing Specialist
3 weeks ago
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
- Bachelors Degree preferred
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