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A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.
Job Responsibility:
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
Requirements:
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
Nice to have:
ABA and/or Mental/Behavioral Health
What we offer:
Medical, Dental and Vision Insurance
401K Retirement Plan
Sick Time Off
Tuition reimbursement
medical, vision, dental, and life and disability insurance