We are looking for individuals who are familiar with Michigan Medicare, Medicaid behavioral health MCO/CMH system and commercial billing markets. 

AIMS, LLC is a multi-specialty group practice providing inpatient psychiatric, medical hospitalist and psychology services in Michigan. Our providers service patients in an acute, inpatient psychiatric hospitalization for adult patients with a broad range of psychiatric diagnoses and comorbid medical conditions. AIMS provides exceptional, quality care through an interdisciplinary team aimed at healing the mind and body of individuals facing challenging circumstances on their life journey.

Job Purpose

The Billing/Coding Specialist is responsible for submitting medical claims to insurance companies and payers such as Medicare and Medicaid, and commercial plans. This position requires attention to detail, and the ability to manage all aspects of the revenue cycle process for an assigned facility. This is a hybrid position and candidates must be available and accountable during regular business hours, with occasional in-person attendance required. This is a full time position, and benefits are available. 

Essential Job Duties and Responsibilities

• Translate patient information into alphanumeric medical code utilizing ICD-10-CM and CPT.
• Verify patient insurance and demographics
• Collect, post, and manage patient account payments.
• Submit claims in portals, through clearinghouse, and on paper as necessary
• Prepare and review patient statements.
• Review delinquent accounts and call for collection purposes.
• Process payments from insurance companies.
• Maintain strict confidentiality.
• Sort and file paperwork.
• Ensure the provider group is reimbursed for all procedures.
• Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding.
• Use computers to read and organize charts.
• Follow up to see if a claim is accepted or denied.
• Investigate the rejected claim to see why denial was issued, and correct for payment. 
• Work closely with Michigan CMH organizations to ensure proper claim submission and payment. 

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• A high school diploma or equivalent
• A minimum of one to three years of experience in a medical office setting
• Billing/Coding Certification Required
• Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred
• Experience with Psychiatric and medical billing is preferred. 

Knowledge, Skills, and Abilities

• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
• Competent use of computer systems, EHR software, Clearinghouse.
• Ability to use Microsoft Excel at a proficient level. 
• Familiarity with CPT and ICD-10-CM Coding
• Effective communication abilities for phone contacts with insurance payers to resolve issues
• Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
• Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
• A calm manner and patience working with either patients or insurers during this process
• Knowledge of accounting and bookkeeping procedures
• Knowledge of medical terminology likely to be encountered in medical claims
• Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
• Ability to multitask

Working Conditions

• Ability to remain stationary a computer terminal for an extended period of time
• Operate/activate/use a computer and telephone 
• Communicate/Exchange information via telephone, fax, and or computer
• Regular, predictable attendance is required
• Have reliable access at remote work location
• Have a remote workspace conducive to handling sensitive information for 8 hours per day. 

Benefits:

• Employer paid health insurance
• Dental, Vision, Life, AD&D options
• Retirement plan eligibility
• Paid time off and paid company holidays