Billing Specialist

Job description

We are seeking an experienced and motivated individual to join our team as a Billing Specialist. The Billing Specialist is part of an integrated team and provides support to the mental health counseling staff and support teams. This position plays a crucial role in ensuring that services are accurately billed and reimbursed. You will utilize your knowledge of mental health billing codes, insurance policies, and regulations to navigate the billing process efficiently. Additionally, you will work closely with staff, and insurance companies to resolve billing issues and ensure compliance with relevant laws and regulations.

If you are experienced in the mental health industry and/or familiar with the intake process, we encourage you to apply for this great opportunity! Note: pay rate reflects minimum starting rate, range is dependent upon a combination of education and experience.

Responsibilities:

• Acts as a liaison between clinical staff, administration and healthcare plans;meet with providers to collect and review credentialing data
• Review mental health service documentation to accurately assign billing codes (e.g., CPT, ICD-10) based on the services provided.
• Prepare and submit insurance claims for mental health services in accordance with payer requirements and deadlines.
• Ensures billings and receivables are accurately billed and processed in a timely manner
• Addresses and correct any discrepancies in accounts or billings
• Verify patient insurance coverage and eligibility for mental health services.
• Follow up on outstanding claims and denials to ensure timely reimbursement.
• Stay up-to-date on changes in mental health billing codes, insurance policies, and regulations
• Respond to inquiries from healthcare providers, and insurance companies regarding billing issues.
• Collaborate with healthcare providers to resolve coding and billing discrepancies.
• Stay up-to-date on changes in mental health billing codes, insurance policies, and regulations.
• Maintain accurate records of billing activities and financial transactions.
• Assist with financial reporting and analysis related to mental health services.
• Strict adherence to all HIPAA, Impact Mental Health Services, state, federal and accreditation agency rules and regulations
• Knowledge of insurance terminology
• Maintain accurate records of billing activities and financial transactions
• All other duties as assigned.

Minimum Qualifications:

• High School diploma is the minimum requirement
• Some college coursework is also preferred
• Two years of proven experience in medical billing, preferably in a mental health setting.
• Experience with Medicaid and Medicare billing for mental health services.
• Certification in medical billing and coding (e.g., Certified Professional Biller).
• Knowledge and understanding of Mental health billing
• Proficiency in medical billing software and electronic health records
• Ability to organize and prioritize work and manage multiple priorities
• Ability to analyze data and develop effective solutions.
• Related experience in customer service
• Strong attention to detail
• Highly proficient Computer Skills
• Excellent oral and written communication skills.
• Be detail-oriented, organized, self-motivated, and possess strong time management and problem-solving skills to handle multi-faceted conversations and situations
• Ability to organize and prioritize work and manage multiple priorities

Skills:

• Working knowledge of MS Excel, Adobe Acrobat, and Google Drive apps
• Problem solving skills and decision making skills
• Ability to work independently
• Understanding of federal and state privacy and security laws, regulatory requirements, and standards for maintaining information security and confidentiality.
• Knowledge of commercial and government insurance plan and coverage
• Knowledge of key insurance terms and how claims are processed by a health plan (i.e. coinsurance, deductibles, copays, etc.).
• Ability to learn quickly new and existing tasks, platforms, and workflows
• Ability to effectively communicate information and respond to clients, staff, and community partners.
• Demonstrate the ability to focus on details, complete assigned projects, meet deadlines, and prioritize multiple competing tasks in a fast-paced, team-based environment.
• Ability to define problems, collect data, establish facts, research solutions, and draw valid conclusions.
• Be detail-oriented, organized, self-motivated, and possess strong time management and problem-solving skills to handle multi-faceted conversations and situations

Job Type: Full-time

Pay: $20.00 - $24.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience:

• ICD-10: 1 year (Preferred)

Ability to Commute:

• Portsmouth, VA 23707 (Required)

Ability to Relocate:

• Portsmouth, VA 23707: Relocate before starting work (Required)

Work Location: In person

Salary : $20 - $24