What are the responsibilities and job description for the Behavioral Health Medical Biller position at PLEASANT BEHAVIORAL HEALTH SYSTEMS?
CANDIDATES MUST RESIDE IN MARYLAND ONLY!
Responsibilities
Responsibilities
- The Medical Billing Specialist files timely and complete appeals electronically, telephonically, or manually in accordance with payer guidelines.
- Using a thorough understanding of payer contracts and claims analysis, the medical Billing Specialist determines why the claims were denied or underpaid and requests claims adjudication corrections.
- Provides supporting documentation or refers payers to reimbursement agreements for the resolution of nonpayment.
- Billing Specialist researches and pursues reimbursement for medical claims that were denied or did not receive payment also complete monthly audits.
- The Medical Billing Specialist files timely and complete appeals electronically, telephonically, or manually in accordance with payer guidelines.
- Using a thorough understanding of payer contracts and claims analysis to determine why the claims were denied or underpaid, and request claims adjudication corrections.
- Provides supporting documentation or refers payers to reimbursement agreements for the resolution of non-payment.
- Provides a spreadsheet of supporting documentation of reimbursement of claims billed or in process on a bi-weekly basis.
- MUST KNOW MARYLAND MEDICARE BILLING SYSTEM/AVAILITY SYSTEMS.
- MUST KNOW ICAN NOTES.
- MUST HAVE THREE YEARS OR MORE EXPERIENCE.
- MUST BE WILLING TO WORK IN OUR OFFICE TWO DAYS A WEEK.
- PLEASE DONT APPLY IF YOU DONT HAVE ALL REQUIREMENTS.
Salary : $30