Medical Biller - New York, United States - The Dorm LCSW PLLC
Description
For over 15 years, The Dorm has been a mission-driven, client-centered mental health organization that has been bringing comprehensive, evidence-based treatment to young adults, ages We are looking for a passionate Medical Biller to join our multidisciplinary team and contribute to our goal of making a difference.
With us, you'll be part of the next frontier in mental health care with an integrative treatment model and outcomes research approved by a third-party validated Institutional Review Board (IRB).
We blend individualized therapy and skills coaching, hands-on family work, group-based clinical support and a bustling community and social Clubhouse experience unseen elsewhere in our industry.
With competitive salaries between $60,000 and $75,000 (based on background/experience) and a proud commitment to diversity in the workplace that affirms all races, genders and backgrounds, our strength is our community and we hope that includes youResponsibilities Include:
- Prepare complete, accurate and timely claims and batch to insurance carriers for reimbursement.
- Investigate claim denials timely, identify reasons for denials, and take appropriate actions to appeal or correct denied claims to ensure maximum reimbursement.
- Speak to prospective families around their outofnetwork benefits and possible reimbursements for treatment.
- Help families verify coverage and eligibility including obtaining preauthorization for treatment, as needed.
- Provide ongoing customer service and support for clients and families to understand their reimbursement, assist with questions and facilitate any further inquiries with the carrier.
- Ensure compliance with relevant healthcare regulations, coding guidelines, insurance policies, and follow best practices for medical billing and coding.
- Monitor outstanding claims, conduct followup with insurance companies, and address denials or discrepancies to facilitate timely reimbursement.
- Record and reconcile payments received, ensuring accuracy, and update patient accounts accordingly.
- Generate and analyze financial reports related to billing, collections, and outstanding accounts, providing insights to management.
- Investigate and analyze claim denials, identifying root causes and implementing corrective actions to ensure successful claim resubmission and reimbursement.
- Collaborate with internal and external auditors to prepare for insurance audits, providing the necessary documentation and ensuring compliance with regulatory requirements.
- Facilitate partnership with insurance carriers to ensure all billing activities are compliant with their policies.
- Maintain positive, collaborative and respectful relationships with all current clients, prospective clients, staff, and referral sources.
Required Qualifications:
- A minimum of 23 years of experience in medical billing, preferably in an outpatient behavioral health setting.
- Organized, detailoriented thinker who is selfmotivated and seeks to see projects till successful completion.
- Dedicated to providing outstanding customer service, striving to foster an exceptional experience to both clients and staff.
- Strong written and verbal communication and strong interpersonal skills; comfortable with speaking with families, payors and other key partners with respect and efficiency.
- Strong computer and IT skills with the ability to independently set up office equipment at a home workstation (remote workers).
- Strong proficiency with Google Suite products, billing software and electronic health records (EHR) systems.
- A thorough understanding of medical terminology, ICD10, CPT coding (medical billing coding), and health insurance policies.
- Knowledge of insurance carriers billing procedures and requirements is highly preferred.
- Certification in Medical Billing and Coding is a plus.
- Knowledge of healthcare regulations and compliance
- Experience with coordination of concurrent reviews
- Uphold ethical standards in billing practices and ensure compliance with all applicable laws and regulations.
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Unlimited PTO - for a team that's rested, recharged and feeling their best
Full benefits including comprehensive medical, dental, vision and a 401K with up to 3% company match, fully vested after 3 years
- Free
inhouse clinical trainings, DEIB trainings and yearly spending allowance for continuing education credits (CEUs) - Long term treatment model: Form deep therapeutic alliances and
be a bigger part of your clients' journeys (average client length of stay is 12 months) - Flexible, creative, teambased work environment
in the heart of NYC and in an inspiring, centrallylocated therapeutic setting - Limitless opportunities to
expand your impact: work with our research team; support our groundbreaking student scholarship program; be featured in the media on topics that matter or pilot a new treatment group — At The Dorm, it's all possible - We are
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