What are the responsibilities and job description for the Medical Billing Specialist position at Advanced Behavioral Health, Inc.?
Medical Billing Specialist
Frederick, MD
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.
Status: Full-Time
Summary: The Medical Billing Specialist is responsible for ensuring all patient encounters have been properly billed and reconciled through the clearinghouse process and ultimately paid by the insurer. The position works under the supervision of the Billing Supervisor and produces weekly aging and reconciliation reports showing status of all account encounters.
Duties and Responsibilities:
Frederick, MD
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.
Status: Full-Time
Summary: The Medical Billing Specialist is responsible for ensuring all patient encounters have been properly billed and reconciled through the clearinghouse process and ultimately paid by the insurer. The position works under the supervision of the Billing Supervisor and produces weekly aging and reconciliation reports showing status of all account encounters.
Duties and Responsibilities:
- Perform daily review and processing of all patient encounters for payment by insurers through ABH’s 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 problem-solving 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 Bachelor’s degree in business or related field or 4-years 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 co-pays)
- 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 HIPPA privacy laws.
Full-Time 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, Short-Term Disability, Long-Term Disability
- Voluntary Insurance Policies: Accident, Cancer, Critical Illness, Hospital Confinement
- Employee Assistance Program (EAP)
- Paid Holidays, PTO Accruals, Floating Holiday, Paid Birthday, Wellness Day
COVID-19 Considerations: Mandatory COVID-19 vaccinations or qualify for medical/religious exemption accommodation.
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.
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