Receptionist/Billing Specialist

Job Summary
We are seeking a dynamic and detail-oriented Receptionist/Billing Specialist to join our behavioral health team. In this vital role, you will serve as the first point of contact for patients and visitors, ensuring a welcoming and professional environment. Additionally, you will handle medical billing and coding processes with precision, ensuring accurate reimbursement and compliance. Your proactive approach will help streamline front desk operations while managing complex billing tasks, contributing to the overall efficiency of our behavioral health facility.

Essential Duties and Responsibilities:

• Greet patients and visitors warmly, providing excellent customer service and guiding them through check-in procedures.
• Answer and direct incoming phone calls to appropriate staff members.
• Manage appointment scheduling, cancellations, and patient inquiries efficiently utilizing the electronic health record (HER) system.
• Check clients in and out for appointments.
• Maintain the front office area in a clean, organized, and professional manner.
• Manage incoming and outgoing mail, faxes, and correspondence.
• Provide general administrative support to clinical and administrative staff.
• Maintain accurate and complete client medical records in accordance with HIPAA, CARF standards, and state regulations.
• Ensure documentation is properly filed in electronic or paper charts in a timely manner.
• Monitor charts for completeness including intake documents, assessments, treatment plans, and progress notes.
• Verify patient insurance information and update medical records accurately in Electronic Health Record (EHR) systems.
• Prepare and submit insurance claims using appropriate coding guidelines including CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding standards.
• Review Explanation of Benefits (EOBs) and follow up on unpaid or denied claims through medical collection processes.
• Maintain detailed and organized medical records to ensure compliance with privacy regulations and internal policies.
• Collaborate with medical staff to ensure accurate documentation of procedures, diagnoses, and billing codes for each patient encounter.
• Track payments, co-pays, and outstanding balances.
• Assist with billing reports and reconciliation as requested by administration.

Education:

• High School Diploma or GED required.
• Associate degree in healthcare administration, business administration, or related field preferred.
• Minimum of 1–2 year’s experience in healthcare administration, medical records, billing, or front desk operations, preferably in behavioral health.
• Knowledge of medical terminology and insurance billing processes preferred.

Skills & Competencies:

• Excellent communication and customer service skills.
• Strong organizational and time management abilities.
• Ability to maintain confidentiality and professionalism.
• Attention to detail and accuracy in documentation.
• Ability to manage multiple tasks in a fast-paced environment.
• Proficiency with computers, electronic health records (EHR), and Microsoft Office programs.
• Knowledge of HIPAA confidentiality standards.
• Ability to work independently and as part of a team.

Physical Requirements:

• Occasional lifting of office supplies and materials up to 25 pounds.
• Ability to sit, stand and use office equipment for extended periods of time.

Pay: $16.00 - $18.00 per hour

Benefits:

• Paid time off

Work Location: In person

Salary : $16 - $18