Description

The Bridge’s mission is to change lives, by offering help, hope, and opportunity to the most vulnerable in our community. We offer a comprehensive range of evidence-based rehabilitative services, including mental health and substance abuse treatment, housing, vocational training and job placement, healthcare, education, and creative arts therapies.

The Billing Specialist will be responsible for Billing and the follow-up of unpaid or rejected insurance claims for assigned carriers and will work with insurance companies, Billing, and/or Program staff to resolve account issues.

The Medical Billing Specialist will: Respond to inquiries from insurance carriers, via telephone, email, or fax and demonstrate a high level of customer service. Pursue reimbursement from carriers by placing phone calls and recording all contact in an electronic tracking system to ensure progress is made on outstanding accounts.

Essential Position Functions:

• Strong working knowledge of Article 32 and Article 31 claims processing.
• 2 years of experience in Medical Billing, Collections, and appeals requirements with a variety of insurance payer types.
• Denial Management Experience.
• Demonstrated experience in A/R reconciliation, reduction, and reporting.
• Working relationships with insurance companies and their network providers.
• Demonstration of Excel Intermediate knowledge.
• Performs other assigned tasks and duties necessary to support the Billing Department.
• Enlists the efforts of senior management when necessary to accelerate the collection process.
• Internal and External customer interface.
• Meet defined department goals and activities.
• Other duties as requested.

Qualifications

Required Knowledge, Skills, and Abilities:

• Minimum Education level: High school.
• Associate degree from college preferred or a Certificate from a technical school for billing.
• Billing and Coding Certificate/CPC a plus.
• Extensive and current working knowledge of coding, billing, and collection of medical claims.
• Working knowledge of HIPAA, entitlements, coordination of benefits, reimbursement schemes, patient responsibility, and contractual adjustments.
• Knowledge of Medicare, Managed Care, and Commercial insurance billing rules and payment regulations.
• Experience with AWARDS (Foothold Technology) is a plus.

The Bridge Inc. is an Affirmative Action / Equal Opportunity Employer