Job Posting for Medical Billing Specialist at Beacon Treatment Center
Beacon Treatment Center provides Outpatient Substance Abuse Treatment Services to clients at facilities in Navajo and Apache Counties. We are seeking an experienced billing specialist to handle all aspects of billing and claims submissions under the supervision of the Operations Director.
Completes billing/claims submissions to multiple payers on a weekly basis
Maintain spreadsheets and documents for payer reimbursement as required
Serves as a resource regarding claims status. Communicates difficult claim situations and helps resolve issues
Corrects suspended claims with information provided by Program and/or Administrative Staff resubmits for payment
Maintain updated knowledge of the group’s contractual agreements and report any discrepancies in payors reimbursement patterns to the Billing Specialist in writing
Maintain updated knowledge of provider manuals and billing guidelines
Complete status reports weekly or as instructed
Reviews and Reconciles remittances weekly
Analyzes claim aging to resolve unpaid claims. Tracks claims until paid
Follow-up with payors regarding reimbursement claims in the following interval and status or as defined by management:
Claims that have received denials for erroneous reasons; follow-up initiated and completed within 10 business days or receipt of notification
Claims that require additional documentation; follow-up initiated and completed within 10 business days or receipt of notification
Claims that have not been acknowledged; follow-up initiated and completed within 10 business days after receipt
Initiate first and second level appeal, grievances, reconsiderations, redeterminations, and all categories of disputes required to secure reimbursement
Assist Billing Specialist with the hearing process to mediation
Meet assigned deadlines and communicate status with management
Assist with special projects as needed
All other duties as assigned
The qualified candidate will have knowledge of Medicaid/AHCCCS regulations and billing and experience with computers and software applications, effective communication and organizational skills, and the ability to multi-task.
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