Behavioral Health Billing Specialist
Behavioral Health Billing Specialist
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Salary Not Disclosed
1 Vacancy
Job Description
.We are seeking a Behavioral Health Billing Specialist to join our team!
Job purpose
The Behavior Health Billing Specialist works with the Billing and Behavior Health departments ensuring all claims are reviewed for accurate documentation submission and Haven prides itself on efficient billing services including the filing of claims appeals processing and authorizations and above all a great passion for helping individuals obtain treatment.
Duties and responsibilities
The Behavioral Health Billing Specialist maintains the professional reimbursement and collections process for the Behavior Health Program. Typical duties include but are not limited to:
- Reviews medical record documentation to determine appropriate ICD10CM/CPT codes and modifiers in accordance with official coding guidelines.
- Codes in accordance with coding and departmental guidelines. Maintaining no less than 93 accuracy in choice of codes as observed in quarterly auditing.
- Prepares by review the submission of clean claims to various insurance companies
- Including but not limited to; carrier guarantor place of service and servicing provider
- Work claims and claim denials to ensure maximum reimbursement for services provided
- Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet daily metrics.
- Works with peers and/or leadership to create and maintain accurate uptodate policies and procedures.
- Perform other related duties that may be inclusive but not listed on the job description
- Minimum of a High School Diploma or GED and one year of experience in a medical setting.
- A Certified Professional Coding (CPC) certificate through AAPC or other national recognized agency is preferred.
- The ideal candidate will have a minimum of one year of Behavior Health billing and documentation review experience; experience in a Federally Qualified Health Center is highly desirable.
- The selected candidate will have the ability to work in a team environment or independently; to meet all established deadlines metrics and assignment goals at all times and have oral and written proficiency in English. Bilingual in English and Spanish is highly preferred.
- He/she must be able to use computer and multilined telephones;
What we offer:
- Major medical dental and vision
- Voluntary benefits (AFLAC plane STD LTD & Life Insurance)
- Paid Holidays
- Generous Paid Time Off (PTO)
- Tuition reimbursement
- And much more
About Fair Haven Community Health Care
FHCHC is a forwardthinking dynamic and exciting community health center that provides care for multiple generations at over 143000 office visits in 21 by a Board of Directors the majority of whom are patients themselves we are proud to offer a wide range of primary and specialty care services as well as evidencebased patient programs to educate patients in healthy lifestyle choices. As we grow and are able to bring highquality health care to more areas that need access we continue to put our patients first in everything we do. The mission of FHCHC is To improve the health and social wellbeing of the communities we serve through equitable high quality patientcentered care that is culturally responsive.
For 53 years we have been a health care leader in our community focused on providing excellent affordable primary care to all patients regardless of insurance status or ability to pay. Fair Haven is proud to have a motivated team of professionals who are constantly seeking ways to enhance and improve the health and wellbeing of all patients.We believe that everyone should have access to highquality medical and dental care regardless of ability to pay.
American with Disabilities Requirements:
External and internal applicants as well as position incumbents who become disabled must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.
Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race religion color sex gender identity sexual orientation age nondisqualifying physical or mental disability national origin veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications merit and business need.
Required Experience:
Junior IC
Employment Type
Full-Time
