Maryland Wellness (formerly known as BACHS Healthcare) is seeking a detail-oriented Billing Coordinator to join our team! As part of the Billing Department, this position’s primary responsibilities are to conduct research and work aging AR, denials, and rejections to completion for various payor types. As the Billing Coordinator, you will address all account receivable tasks, respond to ad hoc inquiries from patients and internal teams, submit appeals, conduct follow-ups with payors regarding outstanding claims, analyze/report payor trends, and identify areas for billing improvement. This position requires someone who is detail-oriented, organized, and excellent at multitasking.

This position is an incredible opportunity to make a difference in the lives of others! If you are passionate about creating positive change within your community by serving those in need, then we encourage you to apply and join our team.

At Maryland Wellness, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we have developed a strong organization that is capable of providing remarkable care to our clients, families, and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.

Essential Duties & Responsibilities

• Reviews and addresses all aging AR, denials, and rejections accurately and efficiently.
• Utilizes all available payor resources to follow up and expedite claim inquiries, appeals, disputes, and escalations.
• Collaborates closely with team members to identify and report on payor trends, denials, billing issues/discrepancies, and areas for improvement.
• Ensures that all claims are worked in a timely manner and gets documented accordingly.
• Performs departmental administrative functions as required. Answers all incoming telephone calls according to departmental telephone standards.
• Maintains current knowledge of insurance requirements and an understanding of the changing demands of federal regulations and organizational requirements.
• Adheres to all processes and workflows.
• Responds to all billing inquiries from patients and internal teams.
• Collaborates closely with the Payment Posting Specialist to ensure that all account balances are accurately updated.
• Respectful, courteous and professional in all forms of communication and follows the facility's service communication protocol in all interactions.
• Must have working knowledge of Microsoft Office (Word, Excel, Outlook, etc.) and insurance portals (BCBS, Aetna, UHC, EverNorth, Availity, Novitasphere, MD Medicaid EVS, Incedo, etc.).
• Must be able to speak and write in a clear and concise manner to convey messages and ensure that the customer understands whether clinical or non-clinical.
• Working knowledge of basic medical terminology.
• Demonstrates problem-solving skills and ability to follow instructions.
• Clear and professional written and verbal communication skills.
• Ability to work remotely and independently in a changing environment and effectively handle stressful situations.
• Demonstrates great organizational skills, be attentive to details, and be able to juggle multiple tasks simultaneously, as assigned.
• Ability to take initiatives and conduct research for assigned tasks as needed.
• Eager to learn and adaptable to new processes and workflows.

Required Skills & Abilities:

• Understands the nuances of different insurance types.
• Ability to analyze and interpret explanations of benefits from all payors.
• Proven track record for improving process efficiencies and solving problems.
• Detail-oriented and organized.
• Excellent written and verbal communication skills.
• Strong problem solving and analytical skills that demonstrate resourcefulness and initiatives.
• Ability to multitask effectively.
• Ability to strategically, logically, and realistically analyze, evaluate and develop solutions the agency’s business needs.
• Ability to effectively build relationships with individuals of all ages, ethnicity, education, and work experience.
• Understands and maintains confidentiality and all regulations regarding HIPAA and 42 CFR Part 2.
• Exhibits professionalism and a friendly demeanor, and is a positive representative of the company over the phone and in person.
• Comfort with computers and technology, especially Excel.
• Reliable, ethical, and honest work ethic.
• Knowledge and experience with provider credentialing is a plus.
• Incedo and commercial authorization experience strongly preferred.

Required Experience & Education

• Minimum of a High School Diploma or equivalent is required
• Minimum of 2 years experience in medical billing is required
• Working knowledge of medical coding such as CPT and ICD-10 is required
• Experience in the mental or behavioral health field preferred
• Basic knowledge of Excel is required
• Experience with payer portals strongly preferred
• Strong knowledge of different insurance types is required.

Employee Benefits

At Maryland Wellness, our employees work hard to help improve the lives and well-being of people every single day. That is why we are committed to providing competitive opportunities and comprehensive benefits that support a healthy life for you and your family when you join our team. Some of these include:

• Competitive compensation rates
• Access to an Employee Assistance Program (EAP)
• Paid Time Off (PTO)*
• A comprehensive medical plan that provides options for dental, vision, and health coverage*
• Employer provided life insurance coverage*
• 401(K) and 401(K) matching*

• For our fee-for-service contractor (1099) roles: we remain committed to your health and wellness, and we work diligently to ensure that you are connected with the right tools and resources to find the best plans or packages for your individual needs.