What are the responsibilities and job description for the Insurance and Billing Specialist – Full-time position at Concord Counseling Services?
Description
The Insurance & Billing Specialist position serves as a key role in improving the overall effectiveness of revenue cycle collections. The applicant will need to have an extensive background in the submission of claims to third party payers & an understanding of making corrections to maximize cash flow in a healthcare environment, preferably within community mental health. The applicant should also have a background working with electronic medical records (EMR) system software that is utilized to maximize correct third party claim submission. Applicant will become a go-to resource for troubleshooting system issues that end users may have.
Requirements
The job responsibilities include but are not limited to:
• Responsible for proper and efficient setup of payer definitions within the EMR
• Responsible for proper setup of client insurance upon intake
• Credentialing of new staff with payers
• Responsible for review & process of claims in various stages of revenue cycle in a timely manner.
• Act as a liaison for clients with questions or issues
• Responsible for itemized patient statements
• Monitor work flow and recommend process/procedural improvements as needed.
• Maintain compliance with federal, state and local regulations, HIPAA and the Corporate Responsibility Program
Qualifications:
• Required: Minimum 5 years of experience working with third party payers (preferably community mental health environment or healthcare setting)
• Required: Minimum 3 years of experience with Excel
• Experience in claim follow-up in a healthcare practice environment preferred.
• Assist with EMR infrastructure as it pertain to claim submission & payment data entry
• Knowledge of Medicare and Medicaid regulations and other insurance guidelines
• Understanding credentialing of direct service staff with third party payers
• An understanding of healthcare billing to minimize the error rate in claim submission
Benefit Highlights:
• Competitive Pay
• Supportive/Flexible work environment with high employee satisfaction rates
• Generous Paid Time off & Holidays
• Medical, Dental and Vision, Group Life, FSA, HSA, and 401K plan
Concord is an Equal Opportunity Employer. Our core values are inclusion, teamwork, commitment and integrity. Concord welcomes all to apply!