Position Summary:

Handles the processing of sorting and receiving incoming payments with attention to accuracy along with managing the status of accounts/balances and identifying inconsistencies. Will bill claims and follow up until a resolution is achieved.

Position Description:

• Appropriately assemble reimbursement claims, file and transfer to third party vendors.
• Assists with consistent and timely follow up on unpaid claims, denials, exceptions or exclusions.
• Issue and post bills, receipts and invoices; verifies completeness/accuracy of all claims prior to submission; accurately post by line item and balance movement to subsequent payers
• Assist in making arrangements for medical record requests, completion of additional information requests, etc. as requested by payers, patients and providers
• Update accounts receivable database with new accounts or missed payments
• Complete forms, files and records in a confidential, accurate, timely manner, assuring completeness of all information and presence of all required documentation
• Ensure all clients remain informed on their outstanding debts and deadlines; provide solutions to any relative problems of clients
• Write thorough reports on billing activity with clear and reliable data; ability to acquire and interpret payer eligibility and explanation of benefits
• Perform special projects of an easy to moderate nature; meet deadlines; filing appeals when appropriate
• Regularly meet with Billing Manager to discuss and resolve reimbursement issues or billing issues; regularly attend staff meetings and educational sessions
• Performs special projects of a moderate to highly skilled nature; ability to perform level 2 errors; ability to work claims and enrollments in Mental Health Board systems
• Other duties as assigned

Required Knowledge, Skills and Abilities:

• Proven experience as a billing specialist
• Mental Health Recovery Services Board billing
• Electronic health record software
• Excellent attention to detail; comfortable dealing with numbers and the processing of financial information
• Results-driven and patient; ability to manage stress in a fast-paced environment
• Excellent customer service skills
• Knowledge of medical billing, CPT & ICD-10 coding and collection process, and contract specifications

Job Requirements:

• High School diploma or High School Equivalency (college degree preferred)
• 5 years of proven experience in billing
• Experience billing claims and follow up

Essential Functions/Physical Demands:

• Positional: Driving in accordance with job duties assigned. Infrequent standing and walking. Constant sitting.
• Gross Mobility: Rare climbing, or crawling. Infrequent balancing, stooping, kneeling, or crouching. Frequent to constant reaching and handling.
• Sensory: Rare tasting/smelling. Infrequent use of color vision. Occasional use of far visual acuity, depth perception, and field of vision. Frequent use of near and midrange visual acuity, and visual accommodation. Frequent to constant talking.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or on the basis of disability.