Preferred candidates can and will demonstrate their communication skills by conducting clear communication between the clinical team, other administrative staff, and patients, and should be comfortable speaking and practicing their customer service skills to insurance representatives and patients alike. Qualified candidates will be well-organized, demonstrate good character/ethics and work as a member of the team with other staff members.

• Regularly dropping and submitting claims daily to insurance carriers for processing.
• Able to work claims and holds.
• Regularly monitors claims over 90-120 days old, and continually works older claims to resolve and process for payment.
• Performing individual account analysis for patients and answer patient billing questions.
• Assist with monitoring and actively collect on patient balances owed to practice.
• Tracking denial notifications and maintaining claims tracking system for denied claims.
• Billing private and commercial insurances such as Aetna, Anthem, Blue Shield, Cigna, Medicare, MHN, Tricare, Triwest, etc.
• Checking and monitoring patient insurance benefits prior to their first intake appointment and alerting patient of benefits.
• Creating and maintaining patient’s cards on file to ensure timely patient payments.
• Patient Collection on outstanding balances.
• Reviewing missing claims monthly with clinicians and ensuring timely submission of all claims.
• Reviewing EOB’s for payments and posting payments regularly.
• Reviewing payments and fee schedules to ensure proper reimbursement.
• Reviewing clinical documentation to ensure proper coding is submitted.
• Familiar and experience with AR
• Knowledge in Insurance Verification across multiple carriers and platforms. Comfortable with calling and interacting work variety of carriers. 
• Exceptional customer service 

• Previous Billing experience (5 years minimum) with primarily experience in Behavioral Health.
• Education Requirements: Associates Degree minimum.
• Proven reliability and great attendance.
• Well organized, attentive to details, and able to handle multiple expected tasks/deadlines.
• Previous use of Medisoft clearinghouse and Theranest.
• Knowledge of Microsoft Office products.
• Ability to work remotely with attendance to staff meetings 2x a month in Oceansides/Carlsbad.