- Review and verify patient information for accuracy and completeness.
- Prepare clean claims and transmit daily electronic claims and/or manual claims.
- Verify accuracy of claim data and correct any errors.
- Follow up on unpaid claims and investigate and process denied claims by resubmitting denied claims within billing cycle time frame.
- Communicate with insurance companies to resolve billing issues or discrepancies.
- Post EOBs/Payments received using billing software.
- Work with therapists and counselors to provide support and internal customer service.
- Utilize financial background and business processes to identify missed billing opportunities.
- Communicate and respond to any billing inquiries.
- Effectively communicate to staff, insurance agency and any other agencies
- Keep records of invoices and supporting documents
- Track billing by updating billing spreadsheets and current billing reports.
- Maintain confidentiality; adhere to all HIPAA guidelines/regulations.
- Complete various reconciliations
- Complete various daily, weekly, and monthly billing reports
- All other duties assigned.
- Maintain strict confidentiality.
- BA/BS preferred. Associates required
- Previous medical billing experience; 1-3 years' experience in Behavioral health-care billing & collection practices
- Experience working with Medicaid and private insurance
- Working knowledge of medical billing systems
- Experience with Maryland Medicaid's Eligibility Systems
- Working knowledge of CPT and ICD-9/ICD-10 coding systems; Coding certification preferred
- Excellent organizational skills
- Proficiency in Microsoft Office Suite.
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Billing Specialist - Baltimore, United States - BTST Services
Description
The Billing Specialist will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. The Billing Specialist's daily duties will include maintaining billing software, researching denied claims, and analyzing all claim data. To succeed in this role, one must possess in-depth knowledge of billing software and State Medicaid insurance policies as well as display problem solving skills.
Essential Functions:
Minimum Qualifications:
BTST IS A
CARF-ACCREDITED LICENSED MENTAL HEALTH AGENCY
providing comprehensive programming and integrated care to children, teens, and adults throughout the state of Maryland.
We welcome clients to our modern and well-appointed clinics where we provide therapy, psychological evaluations, and medication management. Experience has taught us that many individuals seeking mental health services are frequently forced to receive treatment in clinics that are poorly maintained.
Our mission is to become the leader and trail blazer in the health and social work fields by continuing to research, develop programing, and train tomorrow's elite health care professionals to provide the best services to individuals, families and communities in need. We develop and strengthen our clients' competencies in the core areas most important to their becoming healthy and productive members of their families and communities, including socialization, education and vocation. We work diligently to provide the best programming and evidence-based services to each client and their families.
