Texas Behavioral Health, PLLC has dedicated years of experience and expertise in the Houston area to provide comprehensive outpatient and inpatient behavioral health and psychiatric care for adults and children in our local community. Texas Behavioral Health is constantly on the path for growth and new development. We are looking to add an experienced Medical Billing Associate (AR Specialist) to our team that will contribute to our mission along with embodying the same values as us. Along with patient satisfaction, employee satisfaction is at the top of our list of priorities. We look forward to the possibility of welcoming new minds to our team and are hopeful to find a good fit for this position

Requirements:

• Fix the clearinghouse and insurance rejections
• Do follow-ups on the claims/aging
• Denial fixations while payment posting
• Manual posting
• Download EOBs and request EOBs on call
• Removes the payment posting errors
• Point out the ERA/EFT setup to make practice paperless
• Make insurance portals to reduce the follow-up time
• Analyze insurance trends and pass information to team lead
• Optimization of practice to reduce denials
• Working on Spravato services including charge creation, coding correction, follow up, denial fixation
• Strong understanding of fee schedules, LCDs, Medicare/Medicaid, and secondary insurances.
• Handling providers billing for inpatient/outpatient, TMS, and ADHD testing. Must have a good understanding of charge capture, patient demo entry, insurance verification, claim submission, payment posting, and denials.
• Proficient with insurance verification (copays, deductibles, co-insurance, out of pocket, coordination of benefits, insurance pre-authorization)
• Must have excellent phone etiquette and solve patient issues. Must be able to call insurance and patient for denials, coordination of benefits, and other related issues.
• Strong understanding of reading and posting ERA/EOBs.
• Capable of handling volume and working on rejections and denials on daily basis.
• The person must be a multitasker and a good team player.
• Able to meet monthly billing targets.