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Title

Billing Specialist  

Category Accounting/Finance  
Location Corporate Office  
Full-Time/Part-Time Full-Time  
Shift -not applicable-  
Description

Classification

non exempt

Reports to

Director of Revenue and Reinbursemnt

Major tasks, duties and responsibilities:

  • Experience in medical billing and coding, preferably in a mental health environment

  • Experience with various payers such as Medicaid, Medicare, commercial insurance as well as managed care plans.

  • Enters charges accurately and expeditiously to ensure proper records handling and fast payment responses

  • Responsible for preparation and submission of claims and invoices

  • Post payments in a timely manner

  • Ensures billing rejections and denials are followed up on and resolved timely

  • Research and resolve client billing problems or issues

  • Verify Insurance coverage of patients

  • Works with patients to develop self-pay arrangements

  • Focus on Accounts Receivables to ensure timely collection

  • Knowledge of the expected payment for each service from each insurance contract

  • Experience in what is billable to the patient or another third party and what needs to be written off for contractual adjustments; knows how to post these in billing software

  • Experience in dealing with Insurance appeals for additional payment of denied or underpaid claims

  • Knowledge of compliance with the rules and regulations of each contracted MCP and Insurance Plan

  • Knowledge of remittance advices or explanations of benefits

  • Maintains and works to improve relationships with all contacts (patients, physician, third-party payors and staff to achieve excellent customer service)

  • Customizes billing policies and procedures for position

  • Daily contact with clients and/or insurance companies on claim related issues and balances

 
Position Requirements

Education

High school diploma, some college coursework a plus

Skills, Knowledge and Abilities

  • 3-5 years experience in medical billing and collections, as well as insurance verification.

  • Medical Coding certificate preferred

  • Previous experience with mental health billing preferred

  • Exemplary attendance

  • Excellent communication skills, both oral and written, demonstrating professionalism

  • Excellent organizational skills with the ability to stay focused

  • Ability to prioritize multiple tasks

  • Intermediate computer skills with a knowledge of excel

  • Professional telephone etiquette

EOE

 
About the Organization I Am Boundless has more than thirty-years experience providing programs and services to individuals with complex needs associated with intellectual and developmental disabilities and/or behavioral health challenges. We are a CQL- and CARF-accredited private nonprofit focused on people. From residential and employment assistance to social connections and beyond, Boundless celebrates each individual and encourages them to become active participants in the communities where they live, work, and play.  
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.  

This position is currently not accepting applications.

To search for an open position, please go to http://FranklinManagementResources.appone.com



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