What are the responsibilities and job description for the Medical Biller position at CompDrug?
CompDrug is seeking a conscientious Medical Biller to work remotely. This an exciting opportunity to utilize your problem solving and communication skills while working with an knowledgeable and dedicated team.
About CompDrug:
For more than 40 years, CompDrug has offered comprehensive services in prevention, intervention, and treatment to those seeking help for their addictions and mental health issues. It is now the largest opioid treatment program in Ohio, offering medication-assisted treatment using FDA-approved medications. CompDrug’s employees provide drug testing, outpatient counseling for men and women and numerous prevention programs for youths and adults. Programs include: Anger Management services, and others. Prevention Services include: Youth to Youth International, Pregnant Moms, Senior Sense, and HIV Early Intervention. Those services combined reach thousands of people every day and are instrumental in saving lives, preventing problems, and proving that treatment works. CompDrug has met the standard for high quality treatment and prevention services, winning several awards and gaining National Accreditation for its Opioid Treatment Program through CARF (Commission for Accreditation for Rehabilitation Facilities), beginning in 2002. Today, all of CompDrug's programs have achieved the highest level of accreditation awarded by CARF.
CompDrug provides its employees with a collaborative, flexible and supportive environment where ideas and contributions are recognized and valued. Employees are encouraged to develop and grow their skills through training, on the job learning experiences and problem solving. CompDrug provides a comprehensive benefit package, including medical, dental and vision coverage, student loan repayment, life insurance, maternity & paternity leave, disability, 403b and paid time off.
Responsibilities
- Manages the claims submission and payment posting:
- Ensures data is formatted, coded and submitted in an accurate and compliant manner.
- Submits claims files to payers and posts payments using Electronic Data Interchange (837p and 835 ERA).
- Monitors payer and clearinghouse submission reports and troubleshoots problems.
- Monitors payer correspondence for updates and information affecting the claims process or reimbursement.
- Ensures claims are submitted within a timely manner.
- Maintains and ensures the integrity of billing and claims related data.
- Claims Data Analysis and Auditing:
- Analyzes claims and billing data to identify trends and examine claim denial issues.
- Works claims denials to recoup payment.
- Designs efficient revenue cycle workflows to achieve optimum reimbursement and minimize denials.
- Performs periodic quality and compliance audits.
- Payer Management:
- Works with Insurers, Governmental Agencies, and all other funding sources to establish and maintain new and existing revenue sources.
- Identifies and implements coding and submission requirements of individual payers and funding sources.
- Works with IS/IT to implement appropriate charge capture and documentation methods in the EHR.
- Other duties as assigned
Requirements
- Strong working knowledge of outpatient medical coding required; behavioral health or mental health background strongly preferred.
- Two to four years of experience in billing and coding required, preferably in behavioral health.
- Excellent computer and reporting skills, including proficiency in data set filtering, sorting and grouping using MS Excel.
- Ability to manage multiple applications and records simultaneously while maintaining data integrity.
- Strong analytical and problem solving skills with an ability to understand and troubleshoot interconnected data and business processes.
- Familiarity with electronic medical records and claims/practice management systems.
- Bachelors degree in a related field strongly preferred.
- Excellent interpersonal and communication skills.
- Working knowledge of and commitment to ethical billing and coding practices.
- Must be knowledgeable of applicable laws and regulations governing substance abuse treatment facilities and mental health including, but not limited to, HIPAA and Title 42 - Part 2.
Interested candidates may apply online by visiting https://www.compdrug.com/about-us/
EEO-M/F/Disabled/Vets. We are a drug free workplace.
Surgery Scheduler/ Biller - Pickerington Methodist Hospital
OhioHealth -
Pickerington, OH
Medical sales rep
Piomic Medical -
Delaware, OH
Medical Equipment Delivery Technician
Patriot Medical -
Center, OH
