What are the responsibilities and job description for the Billing Clerk position at GMA Interventions?
RESPONSIBILITIES
- Daily posting of charges and payments
- Scanning of fee slips and EOBs, deposits, claims submissions
- Follow up on accounts and claims when no response from the insurance carriers has been received
- Gather information regarding other pending claims on account and check status of claims utilizing the websites for various insurance companies
- Research, identify, and rectify any special circumstances or denial trends affecting resolution of patient account and provide the finds to the practice manager.
- Identify and create batches for necessary billing adjustments
- Review statements and communicate the specific manner in which the claim processed with patients
- Contact insurance companies by phone, email, fax, and written correspondence to resolve issues preventing claims from being processed correctly, including verifying benefits and eligibility dates
- Working various denials from insurances including coverage in question, medical necessity, bundling, non-covered procedures, incorrect coding, credentialing, etc.
- Other duties as assigned
QUALIFICATIONS
- High School Diploma, Related college level courses highly desirable.
- 2 years of Behavioral Health/healthcare billing experience
- Experienced in submitting claims, insurance companies follow ups, collecting payments
- Experienced knowledge with Medicaid and Commercial Insurances.
- Must have experience working with CPT codes
- Familiarity with electronic billing system, EMR.
- Experienced in handling benefit verification, provider portal,
- Ability to maintain and document claim records with accuracy
- CMRS/CMBS highly desirable
- Bookkeeping highly desirable
- Knowledge of behavioral health highly desirable
Schedule:
- Monday to Friday
Work Location: One location