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Title

Billing Specialist  

Salary  
Full-Time/Part-Time Full-Time  
Shift Days  
Location Boundless Home Office--Central Region  
Position Billing Specialist  
Category Accounting/Finance  
Exempt/Non-Exempt Non-Exempt  
Open Date 3/1/2019  
Close Date 4/15/2019  
Req Number ACC-19-00006  
Description

I Am Boundless, Inc. has nearly forty-years of expertise providing evidence-based programs, services, and support to individuals with intellectual and developmental disabilities and/or behavioral health challenges. We are a private nonprofit focused on people and the only organization in Ohio with both CQL and CARF accreditation. From residential support and vocational habilitation to applied behavioral analysis and outpatient services, our person-centered approach to care celebrates each individual and encourages them to become active participants in the communities where they live, work, and play.

Summary/Objective

This staff person is responsible to the Reimbursement Manager to provide support to the Reimbursement team.

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

  • 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
  • Knowledge of 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
  • Knowledge of 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 payers and staff to achieve excellent customer service)
  • Customizes billing policies and procedures for position
 
Position Requirements

Skills, Knowledge and Abilities

  • 3-5 years’ experience in medical billing and collections, as well as insurance verification.
  • Previous experience with mental health billing preferred
  • 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 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://IAmBoundlessInc.appone.com



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