Behavioral Health Billing Specialist

POSITION DESCRIPTION

The Behavioral Health Billing Specialist is responsible for timely and accurate submission of claims to insurance companies and Medicaid, A/R follow-up, review of client accounts by utilizing billing practices that are ethical and compliant with government and contract regulations. This individual will perform a variety of billing and follow-up duties along with customer service to our clients.

RESPONSIBILITIES

Submit, review and resolve all unpaid client and insurance accounts. Includes, but is not limited to:
- Prepare and submit claims either electronically via Credible EHR and the Clearinghouse or on paper via mail.
- Review and correct claim errors at the Clearinghouse and Credible level.
- Resolve claim issues and resubmit corrected claims or reconsideration requests.
- Provide timely follow-up for claims and claim denials to ensure maximum reimbursement for services provided and submit appeals to insurers, as necessary.
- Excellent phone etiquette when dealing with client and insurance inquiries.
Research, audit, and investigate proper payment of claims and client accounts.
Prepare and send out monthly statements to clients.
- Contact clients for payment resolution and negotiate payment plan arrangements.
Serve as point of contact for patient billing questions.
Provide support to Finance and Management as needed.
Attend regularly scheduled staff meetings.
Demonstrates a high degree of skill in communication and positive interaction with all employees, prospective employees, external agencies/companies, and the community at large.
Perform all other duties as assigned.

ESSENTIAL JOB REQUIREMENTS

Ability to exercise discretion and maintain both client and employee confidentiality in accordance with HIPAA, contract requirements, or other applicable laws and regulations.
Ability to professionally interact with all levels of organization.
Minimum of 2 years of medical billing experience or similar role.
A certificate or degree in medical insurance and billing is preferred, but not required.
Strong understanding of behavior health and medical billing, as well as medical terminology.
Strong working knowledge of insurance guidelines and reimbursement process for medical and mental health billing.
Understanding of Revenue Cycle Management process.
Excellent skills in analyzing, interpreting, and occasionally, posting EOBs.
Understands authorizations and limits to coverage.
Solid understanding of Credible billing software and electronic health records. (preferred)
Working experience with clearinghouse processes.
Effective written and verbal communication skills.
Can do teamwork attitude and the ability to remain calm under pressure.
Must have the ability to multitask and manage time effectively.
Outstanding problem-solving and organizational abilities.
Certification in billing preferred, not required.
Ability to perform a range of physical motions including but not limited to:
- Standing, walking, sitting for long periods of time
- Ability to use required equipment:
- Telephone – frequently
- Copier – occasionally

AGENCY COMMITTMENTS

Commitment to the Mission, Vision, and Values of the agency.
Accept and positively engage with people with a variety of lifestyles, behaviors, cultural and spiritual practices and ability statuses.
Effectively manage own work while working within a team environment.
Adapt and respond effectively to change.

PAY: $22.90 - $28.70 per hour

BENEFITS
Full and part-time employees at Ryther enjoy a variety of competitive benefits including:

Comprehensive Medical and Dental Coverage (We pay your medical deductible!)
Multiple Retirement Plan Options (403b tax deferred)
Generous Paid Leave Program (3 weeks paid vacation, 10 accrued sick days, 5 personal days, and paid holidays)
Life Insurance Coverage
Professional development funds
Ryther is a recognized and accredited non-profit (501c3) which qualifies for the federal public student loan forgiveness program

SUPERVISOR: Billing Manager

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