A behavioral health company specializing in Autism therapy and Psychological testing/counseling seeks a Medical Billing and collection specialist. Must be familiar with out-of-network commercial insurance billing.
The ideal candidate must have 3 years of experience in A/R. Must have behavioral health experience.
Must be extremely responsible, punctual, and resourceful. We are looking for someone with a long-term commitment who is eager to grow with the company.
Requirements/responsibilities include, but are not limited to:
- Previous experience with claims research and reconciliation
- Prepare claims to submit to Medicaid/Commercial insurance through billing software and clearinghouse
- A/R reports and claim follow-up with insurances working denials, rejections, etc.
- Reviewing of EOBs for proper reimbursement
- Report on outstanding claims to Billing Manager, and CFO
- Ensure timely collection of outstanding A/R and perform a variety of clerical and accounting functions o resolve billing issues of submitted claims
- Apply electronic remittances and cash receipts to claims
- Provide posting information on EFT/ACH/Checks received to Accounting Department.
- Mail client statements
- Answer questions for clients, local offices and Access department relating to all revenue cycle matters with professional phone and email manner
- Responsible for developing and maintaining managed care contracts
- Performs other duties as assigned by supervisor
Minimum Requirements:
- Three or more years of experience in healthcare billing & collection practices, working with Medicaid and commercial insurance billing and credentialing process. Behavioral Health/Outpatient billing experience preferred.
- Working knowledge of medical billing systems/software; experience with Centra Reach and Simple Practice a plus.
- Experience with Medicaid’s Texas State Eligibility systems and working knowledge of CPT and ICD-9/ICD-10 coding systems preferred.
- Medical billing and coding, credentialing certification a plus.
- BA/BS or equivalent experience preferred.
- Attention to detail and excellent verbal and written communication skills and organization skills required.
- Proficient in Microsoft Office Suite a plus.
Job Type: Full-time
Pay: $18.00 - $24.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Experience:
- Behavioral health Billing: 3 years (Required)
- Autism Therapy Billing: 2 years (Required)
Work Location: In person