What are the responsibilities and job description for the Billing Specialist position at WELLSTONE INC?
Job Description: The Billing Specialist is responsible for reviewing notes and submitting charges in the electronic medical record (EMR). They ensure that insurance companies and patients are billed accurately for services rendered to help to streamline WellStone’s healthcare reimbursement process.
What you'll be doing:
- Review all medical notes
- Enter appropriate service charge code in EMR
- Review Diagnosis to ensure that the medical diagnosis corresponds with the diagnosis in the EMR
- Receive calls from clients, answer questions clients may have, and review accounts with clients
- Take client payments over the phone
- Receive calls from staff regarding client insurance and balances
- May receive and post payments in EMR
- May post and/or adjust copays and deductibles after insurance has paid
- May review denied and rejected claims
- May reprocess or adjust denied and rejected claims
- May review and reprocess claims with errors
- Back up for insurance information input and insurance verification
- Complete other duties as assigned.
This job description is only a summary of the typical functions of the job and is not designed to be an exhaustive or comprehensive list of all possible duties, tasks, or responsibilities that are required of the employee as they may change, or new ones may be assigned at any time with or without notice.
Qualifications:What we're looking for:
- Advanced Education in Billing/Medical Coding
- Will consider relevant college courses if no degree
- Required 1-2 years’ experience as Medical Billing Coder
- Knowledge in mental health terminology, abbreviations, pharmacology and diagnosis
- Advanced knowledge in medical codes involving selection of the most accurate and descriptive code using CPT codes for billing of third-party resources
- Knowledge of HIPAA guidelines and compliance standards
- Advanced knowledge of CMS regulations and fraud guidelines for professionals
- Excellent verbal and written communication skills
Benefits
What we offer:
- Competitive medical, dental, and vision premiums
- State Retirement participation through RSA plus an optional 457b plan with a company match
- Nine (9) paid holidays throughout the year
- Ability to continually accrue up to 15 days of PTO a year (unused rolls over)
- Company-paid Group Life and AD&D insurance and Long-Term Disability
- Licensure reimbursement
- Tuition discounts through learning partnerships with Athens State University and Capella University
We are compassionate towards those impacted by behavioral health disorders.
We are dedicated to one another through collaboration and teamwork.
We are optimistic problem-solvers who do what it takes to get the job done.