Behavioral Health Medical Billing Specialist - Chesapeake - Revive Bhs Llc

    Revive Bhs Llc
    Revive Bhs Llc Chesapeake

    18 hours ago

    Description

    Behavioral Health Medical Billing Specialist Role

    We are seeking a detail-oriented professional with direct experience in Virginia Medicaid (DMAS) billing for behavioral health services to join our team. This position requires managing claims for ARTS programs and maintaining a solid understanding of documentation requirements, authorizations, and denial management.

    • Submit and manage claims under Virginia Medicaid (DMAS)
    • Process claims for various ARTS levels of care including OTP and outpatient services
    • Verify authorizations ensuring compliance with approved services
    • Monitor address claim rejections denials initiate corrections resubmissions
    • Prepare track appeals denied claims post payments reconcile remittance advice accurately maintain comprehensive billing records documentation communicate effectively MCOs regarding statuses resolutions collaborate clinical staff resolving documentation discrepancies assist preparing audits payer reviews strong knowledge DMAS fee schedules service authorization processes familiarity MCOs medical necessity standards EHR systems excellent attention to detail organizational skills Experience DBHDS-licensed programs knowledge regulatory billing requirements background auditing compliance review accuracy meticulous attention focus complying reducing enhancing performance ability multiple meet deadlines communication follow-up expertise denial resolution situation is remote considering candidate adept complexities Virginian performs this role requiring fluency vocabulary language located USA overall structure expected avoid brevity length list hyperlinks formatted instructions predefined firm.

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