Billing Specialist
Billing Specialist
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USD 21 - 29
1 Vacancy
Job Description
JOB DEFINITION:
Billing Specialist I primary responsibilities are Account Receivable followup investigate analyze appeal and resolve any denied or unpaid insurance claims.
EDUCATIONAL REQUIREMENTS:
2 years experience performing Account Receivable followup in a Healthcare setting.
EXPERIENCE REQUIRED:
- Solid Knowledge and understanding of Billing Concepts ICD10 Medical Terminology Behavioral Health Billing and Electronic Medical Records. Ability to read and understand EOBs.
- Must have the ability to multitask and manage time effectively.
- Effective written and verbal communication skills.
- Proficient in Microsoft Office Excel and Word.
DUTIES AND RESPONSIBILITIES:
- Monitor Aging Reports (AR) and perform extensive and timely account followup activities. To investigate analyze appeal and resolve any denied insurance claims.
- Routinely contacts insurance companies to followup unpaid claims. In addition utilizes Insurance Portals to pull or review EOBs.
- Complete all levels of appeals adhering to payer specific appeal requirements.
- Analyze Denial reasons identify trends to avoid future denials.
- Run Insurance Verification/Eligibility
- Collect and Review referrals/Authorizations.
- Review all client/patient information to make sure it matches whats in the Billing System before submitting claim to insurance companies.
- Prepare/submit billing data and claims to insurance companies through our Billing Systems (IMA/Carelogic).
- Review and Process Rejected claims.
- Post Payments and process remittances.
- Effective communication with clients and staff t resolve billing inquiries and issues.
- Identify and implement quality improvement trainings and activities as part of professional development goals
- Identify and implement quality improvement trainings and activities as part of professional development goals
- Complete QI Training during onboarding and participate in QI refresher training as needed.
- Ability to cultivate a culture of inclusion for all employees that respects their individual strengths views and experiences. A Culture that makes better decisions drives innovation and delivers better business results.
- Adherence to all safety protocols and procedures to ensure a safe working environment for all employees. Demonstrate a commitment to maintaining a safe work environment by following established safety guidelines.
- Health and Safety Awareness: Include any relevant knowledge or experience regarding health and safety protocols to ensure a safe work environment for all employees.
- Be able to attend Agency functions on site included but not limited to Agency fundraising events and Staff Day.
- Other duties as assigned.
BENEFITS:
We offer an attractive and competitive benefits package for full time employees which includes but not limited to:
- Medical
- Dental
- Vision
- $0 Deductible Platinum Plus Medical Insurance Plan 90% Employer Provided Benefit
- Flexible Spending Account
- 403(b) retirement plan
- Long Term and Short Term Disability
- Legal Plan
- Dependent Care Expense Account
- Life Insurance/Supplemental Life Insurance
- Pet Insurance
- HRA
- Training programs including a Mentorship program
- Employees may be eligible for Federal/Public Student Loan Forgiveness
- Career growth and Promotional opportunities
- Employee Perks and Discounts to Broadway shows and more
5 Personal Days 1020 Vacation Days 12 Sick Days 12 Company Paid Holidaysyearly and so much more.
If interested please apply via this ad or fax your resume to HR DIRECTOR CAROL OTERO at.
CN Guidance & Counseling Services inspires and catalyzes recovery for people living with mental health and substance use conditions through innovative and personcentered integrated clinical treatment counseling housing and support services.
- Awarded Newsday/Dan papers Top Long Island Work Placeyears in a row.
- Every job and every team at our agency plays a role in helping other Long Islanders live healthy and fulfilling lives.
- Engage your passion and CHOOSE a career & employer where you can use your vital energy to make a difference.
It is the policy of CN Guidance and Counseling Services Inc. to ensure equal employment opportunity without discrimination or harassment on the basis of race color religion sex sexual orientation gender identity or expression age disability marital status citizenship national origin genetic information or any other characteristic protected by law. CN Guidance and Counseling Services Inc. prohibits any such discrimination or harassment.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
