Within Health

Billing Specialist

Within Health

full-time

Posted on:

Origin:  • 🇺🇸 United States • Florida

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Salary

💰 $50,000 - $60,000 per year

Job Level

Mid-LevelSenior

About the role

  • Oversee the billing process for clients and ensure timely and accurate submission and processing of client invoices and insurance claims
  • Research and resolve all provider and client inquiries in a timely and customer-focused manner
  • Take ownership of the error free completion of the entire weekly bill cycle
  • Check eligibility and benefit verification for services provided as needed
  • Conduct client and guarantor welcome orientations on the insurance/private pay/balance billing process
  • Maintain communication with clients on the billing process, status of their claims
  • Manage the status of client accounts and balances and identify inconsistencies
  • Create, send and collect on bi-weekly invoices for balance billing and SCA, private pay clients
  • Follow up, collect, charge and post large client balances
  • Professionally answer and respond to calls, and emails from patients, payers, and other team members re: claims, balances, eligibility, etc., promptly
  • Accurately prepare, review, and submit claims within timely filing to various insurance companies electronically, or in some case via paper using correct revenue, HCPCS, CPT and ICD10 codes
  • Post insurance and patient payments from ERA’s or EOB’s within a timely matter
  • Follow-up on open, denied, underpaid, overpaid and non-paid claims and re-submit, send back, appeal as needed
  • Write, compile medical records, etc. for appeals, retrospective reviews, authorizations as needed; and follow up accordingly
  • Collaborate with clients and insurance companies, team members to resolve billing inconsistencies and errors
  • Review patient accounts for trends that indicate where additional assistance might be needed
  • Constructively handle patient complaints and report to your supervisor immediately
  • Support billing team as needed when individual tasks are completed, or if help needed to complete a project
  • Monitor your daily, weekly performance and submit daily delegations to billing manager
  • Plan, organize, direct and control to meet all billing objectives
  • Maintain and track your personal calendar, calls, and deadlines
  • Accurate and timely processing of all adjustments (debits and credits), initiated by either external (client-related) or internal (Shared Services) requests
  • Timely research and resolution of all billing inquiries to the assigned mailboxes utilizing the highest level of customer service
  • Other duties assigned by supervisor

Requirements

  • Eating disorder, behavioral health, inpatient billing preferred
  • High school diploma or equivalent required, some college preferred
  • 3 years’ experience in billing, preferably in the Staffing or Medical field
  • 3-5 years of demonstrated analytical sense with excellent attention to detail
  • Medical billing experience, specifically insurance company follow up and balance billing
  • Knowledge and experience with Apero and Collaborate MD billing software preferred
  • Understanding of billing on UB-04 forms and revenue, CPT, HCPCS, ICD10 codes
  • Compliance of HIPAA, understanding of medical terminology
  • Strong attention to detail and efficient data entry
  • Strong organization, time management and prioritization abilities
  • Excellent communication and Customer Service skills
  • Strong computer skills, including knowledge of EMR’s, PM systems, and Microsoft Office suite
  • Minimum of three years of technical experience