Behavioral Health Medical Biller Job description

What You Will Do:

• Perform posting charges and completion of claims to payers on time
• Obtain referrals and pre-authorizations as required for procedures
• Check eligibility and benefits verification for treatments, hospitalizations, and procedures
• Review patient bills for accuracy and completeness, and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
• Follow up on unpaid claims within a standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments, if necessary
• Identify and bill secondary or tertiary insurances
• Review accounts for insurance or patient follow-up
• Research and appeal denied claims
• Answer all patient or insurance telephone inquiries on assigned accounts
• Set up patient payment plans and work collection accounts
• Update billing software with rate changes
• Update cash spreadsheets, and run collection reports

What You Will Need (Qualifications):

• Bachelor's Degree preferred
• Behavioral health experience preferred
• Familiarity with Medicaid and commercial insurance billing for outpatient services (PHP, IOP, OP)
• 2 years of experience
• Valid driver’s license and access to transportation
• Exceptional organizational skills
• Excellent written and verbal communication skills
• Able to multitask
• Professional presentation
• Proficient in Microsoft Office
• Excellent time management skills