Medical Billing Specialist

• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance
• Monitor and track the status of submitted claims to ensure timely reimbursement
• Post payments from insurance companies and patients with precision and accuracy
• Manage patient account balances, including collections and establishing payment plans when necessary
• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement
• Draft and submit appeals with supporting documentation to resolve complex claim issues
• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns
• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines
• Support the organization’s financial health by optimizing the revenue cycle processes

• Proven experience in medical billing and collections, specifically within mental and behavioral health services
• Strong knowledge of insurance claim submissions, denials, and appeals processes
• Familiarity with HMO and PPO plans and their billing requirements
• Ability to work with Medicaid and commercial payers to manage claims effectively
• Proficiency in maintaining detailed and accurate billing documentation
• Excellent communication skills to interact with patients and insurance carriers
• Knowledge of healthcare regulations and compliance standards
• Strong organizational and problem-solving skills to manage multiple tasks effectively

ABA and/or Mental/Behavioral Health experience

• Medical, Dental and Vision Insurance
• 401K Retirement Plan
• Sick Time Off
• Tuition reimbursement
• medical, vision, dental, and life and disability insurance for contract/temporary professionals
• eligibility to enroll in company 401(k) plan for hired contract/temporary professionals