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Cenikor is a non-profit organization and one of the largest substance abuse treatment centers in the nation. We are currently seeking a Insurance Billing Specialist for our Corporate office in the Memorial area of Houston, TX.
Cenikor’s Value Proposition – What’s In It for You?:
JOB SUMMARY:
The Insurance Billing Specialist is responsible for communication with carriers, payors, clients, facilities and
management at all levels to get maximum payment on accounts. Identify and resolve issues or changes to achieve client profitability, as well as complete resolution on denials.
SCHEDULE: Monday - Friday: 8-5pm
ESSENTIAL FUNCTIONS:
Responsible for knowing and following assigned plans’ guidelines, pre-certification requirements and procedures for filing and appealing claims of Third Party Payors, including Medicaid, Medicare, and Insurance.
Interact regularly with insurance carriers to provide accurate information, allowing the carrier to make an informed determination of a patient's coverage, eligibility, and calculate any patient financial responsibilities.
Ensure insurance coverage via telephone or web resolves any issues with coverage and escalates complex issues to a supervisor or manager.
Provide effective communication to client/family, team members and other health care staff in regards to benefits, appointment scheduling, client responsibility via email or other means; provide proper forms for financial responsibility, self pay clients, payments arrangements and admissions payments.
Work closely and communicate effectively with access center team to ensure all persons interested in admission to Cenikor are contacted within required timeframe and admissions are completed as appropriate. Complete any required documentation and report for access center.
Assist in all functions associated with Admissions including collecting client responsibility and coordinating with Business Manager and Accounting Assistant.
Prepare and submit clean claims to various Third Party Payors electronically and/or paper submission.
Ensure standard codes are accurately assigned to clients’ medical information for insurance reimbursement purposes.
Perform various inquiries and collection actions regarding reimbursements/payments from Third Party Payors by phone or web.
Answer phone calls from clients regarding accounts and contact clients regarding outstanding account balances for services.
Assist in setup of payment plans if the client cannot pay in full at the time the bill is received.
Accurately input data and maintain documentation in client files, including any invoices and payments.
Analyze, work, and appeal denials from EOB’s and correspondence daily. Flag accounts appropriately.
Review EOB’s and download all electronic remittances and ensure that allowances, adjustments, unallocated payments and overpayments are posted correctly.
Initiate and work up refund requests for overpayments.
Uphold the core principles of Cenikor’s culture and create a positive working environment for all team members.
Maintain strict confidentiality on all client and foundation matters and refer questionable issues to supervisor.
Perform additional duties as assigned and consistent with the non-exempt functions as defined in this job description.
QUALIFICATIONS FOR THE POSITION:
Skills, Knowledge and Abilities:
Skilled in insurance billing coding and processing.
Skilled in administrative and clerical procedures.
Skilled in Microsoft Office and ten-key.
Ability to possess excellent organization and communication skills.
Ability to be detail oriented and accurately record numerical data.
Ability to possess a “can-do” attitude.
Ability to work in a team environment.
Knowledge of Microsoft Office software required, including specific MS Outlook calendar experience.
Ability to consistently uphold the Core Principles of Cenikor’s Culture:
Demonstrate mission of service to our clients
Positive, respectful communication with both staff and clients
Demonstrate self-motivation and perseverance to achieve goals
Role model appropriate, professional behaviors including appropriate client boundaries
Work effectively as part of a team, helping to set up others for success
Education:
Experience:
One to three years insurance billing experience required.
Certification Required:
Medical billing and coding certification preferred.
IMPORTANT NOTES:
Drug Free Workplace
Equal Opportunity Employer
Full Time
Consumer Goods
$38k-48k (estimate)
08/10/2022
04/21/2024
cenikor.org
ARLINGTON, TX
25 - 50
1967
MARK BARTEE
<$5M
Consumer Goods
Cenikor Foundation is one of the oldest and most successful substance abuse treatment centers in the nation. Since 1967, Cenikor has expanded to assist more than 1,000 people a week achieve better health and better lives. Cenikor has been committed to helping people deal with chronic addictions, most of that time in the long-term therapeutic community environment. Cenikor provides the full continuum of care, throughout Texas and Louisiana, helping adults at every stage of their recovery, from detoxification, through short-term inpatient care, long-term inpatient programs and outpatient care. C...enikor also provides adolescent short-term inpatient treatment and outpatient services. Cenikor Foundation is a non-profit organization, dedicated to assisting people in developing the skills needed to become responsible citizens free of substance abuse. Fees for services vary. Many are provided on a sliding scale based on income. Self-payment and most insurance plans are accepted. Call today or go online to cenikor.org to learn more about Cenikor Foundations programs. All inquiries about admissions and referrals are confidential.
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The job skills required for Insurance Billing Specialist - Full Time - Houston, TX include Billing, Medical Billing, Customer Service, Attention to Detail, Microsoft Office, Communicates Effectively, etc. Having related job skills and expertise will give you an advantage when applying to be an Insurance Billing Specialist - Full Time - Houston, TX. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Insurance Billing Specialist - Full Time - Houston, TX. Select any job title you are interested in and start to search job requirements.
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