Advanced Behavioral Health Inc. is looking for aMedical Billing Specialist who is responsible for ensuring all patient encounters have been properly billed and reconciled through the clearinghouse process and ultimately paid by the position works under the supervision of the Billing Supervisor and produces weekly aging and reconciliation reports showing status of all account encounters.
ABHis a family centered mental health program that offers a wraparound approach to treatment. We specialize in Psychiatry OffSite Counseling Services OnSite therapy and Therapeutic Mentoring. If you share our mission and vision we invite you to join a team that wants to make a difference within the community.
Location: Frederick MD
Position Status:FullTime; NonExempt
Compensation: $21.50 $27.50/hour
Office Hours: Typical days and hours of work are Monday through Friday 9:00 AM to 5:00 PM. Some flexibility in hours is allowed.
Duties and Responsibilities:
- Perform daily review and processing of all patient encounters for payment by insurers through ABHs electronic medical records system.
- Resolve open and incomplete encounters so they can be billed.
- Resolve all claim denials and unpaid claims and resubmit when necessary.
- Prepare weekly aging reports and submit to Billing Supervisor and Comptroller for review.
- Collaborate with providers and insurers to resolve issues pertaining to denied claims.
- Maintain a tracking system of incoming and late payments.
- Request relevant information from appropriate clinical staff as required.
- Provides customer service to employees management and outside vendors/agencies.
- Adheres to professional standards practice policies and procedures federal state and local requirements and CARF standards.
- Assist with other duties as needed within the Billing Department.
- Duties responsibilities and activities may change at any time with or without notice.
Knowledge Skills and Abilities:
- Strong organizational skills and ability to manage multiple priorities with minimal supervision.
- Demonstrate working knowledge of MS Office (word Excel Outlook PowerPoint).
- Ability to communicate effectively both orally and in writing.
- Ability to establish and maintain effective working relationships with the staff in all departments.
- Excellent analytical and problemsolving skills.
- Demonstrate expertise in continuous quality improvement customer service and team building.
- Maintain the strictest of confidentiality.
- Knowledge of healthcare insurance claims and referral processing.
Recommended Qualifications:
- A Bachelors degree in business or related field or 4years of experience directly related to the duties and responsibilities specified.
- Experience is preferred working with health insurances (specifically strong knowledge and understanding of insurance reimbursement patient responsibility deductibles and copays)
- Ideal candidate has background working with an electronic medical record system within a health organization.
- Knowledge of principles and practices of office management and organization.
- Understanding of HIPAA privacy laws.
- Bilingual fluent in English and Spanish is preferred.
FullTime Employee Benefits:
- Medical Dental Vision
- 401(k) Retirement Plan with Employer Match
- Dependent Care Flexible Spending Accounts (FSAs)
- Voluntary Term Life Insurance
- Employer Paid: Basic Life Insurance ShortTerm Disability LongTerm Disability
- Voluntary Insurance Policies:Accident Cancer Critical Illness Hospital Confinement
- Employee Assistance Program (EAP)
- Paid Holidays 3 Weeks PTO/Year Floating Holidays Paid Birthday Wellness Day
ABH is committed to diversity and to equal opportunity employment. ABH does not discriminate on the basis of race creed color ethnicity national origin religion sex sexual orientation gender identity and expression age height weight physical or mental ability (including HIV status) veteran status military obligations or marital status. This policy applies to hiring internal promotions training opportunities for advancement and terminations and applies to all ABH employees interns clients and contractors.
Join our team and make a difference!
Required Experience:
Manager