Insurance Specialist

Meaningful Day Services provides therapy and/or supports for individuals with disabilities throughout the state of Indiana. Our company is in it's 20th year and continues to grow rapidly, while maintaining the quality and individuality of services for the people we serve. Our home office is in Brownsburg, Indiana.

Job Skills/Requirements

The MDS Insurance Billing Specialist is a Part of the MDS Story. You are involved with a rapidly growing company that values compassion, innovation, and hard work. You are a team player and ready to love your job.

As a member of the Finance team, the Insurance and Medicaid Specialist will verify benefits, obtain authorizations to provide service, file claims with insurance companies, post insurance payments to client accounts, review EOB’s for accuracy, follow-up on unpaid or delayed claims, and send monthly statements to clients. This position will impact a rapidly growing organization and is critical to the timely and accurate processing of all financial information

The MDS Insurance Billing Specialist will report directly to the Financial Administrator.

Duties Include but are not limited to:

• Verify insurance benefits and communicate information to client families, Department Directors, and Client Relations.
• Secure and maintain authorizations to provide services and communicate information to client families and department directors.
• Maintain accurate tracking method for authorizations and incoming clients.
• Weekly billing of all insurance claims including review of billing report to ensure accuracy.
• Posting of all insurance payments and accurate reporting on individual client spreadsheets.
• Timely research/follow-up on unpaid, underpaid, or delayed claims.
• Prepare and send monthly statements to clients.
• Research and resolve insurance/client overpayments.
• Answer all client inquiries regarding their insurance benefits and their financial obligation.
• Maintenance of month-to-date and year-to-date billing and receivable spreadsheets.
• Remain up-to-date with ever changing insurance coding and billing requirements.
• Implementation of new coding and billing requirements.
• Continuous research of billable codes and working knowledge of codes acceptable to different insurance plans.
• Develop/maintain relationships with employees at insurance and utilization management companies.
• Participate in scheduled finance meetings.

The MDS Insurance Billing Specialist must possess the following characteristics:

• Current knowledge of medical coding (ICD-9, ICD-10, CPT, DSM-5, HCPCS) behavioral health a definite plus

* Medicaid billing billing especially mental health

• Knowledge of medical terminology.
• Knowledge of basic human anatomy.
• Ability to interpret and code from clinician’s reports.
• Experience in mental health billing for developmentally disabled a definite plus.
• Experience with account receivable and collections.
• Ability to conduct research to resolve coding/billing questions.
• Ability to read and interpret insurance certificates of coverage and explanations of benefits.
• Strong PC skills, including proficiency in Excel and Word.
• Strong work ethic and a team player.
• Strong customer service skills.
• High degree of trust and integrity.
• Ability to work effectively with minimal supervision.
• High degree of professionalism.
• Ability to deal sensitively with confidential information.
• Strong interpersonal and verbal/written communication skills.
• Ability to communicate with various levels of management.
• Strong decision-making, problem solving and analytical skills.
• Ability to focus and stay on track throughout distractions and interruptions.
• Strong problem-solving skills.
• Ability to adapt to changes in policies, regulations, and procedures is essential.
• Strong attention to detail.
• Ability to consistently meet production and quality goals.
• Organizational, multi-tasking and prioritizing skills.
• Active listener.
• Excellent reading comprehension.
• Excellent written and verbal communication skills.
• Critical thinker.
• Ability to monitor/assess yourself, other individuals, and organizations to make improvements or take corrective action.

Education Requirements

- Minimum High School Diploma

• Minimum 5 years effective medical billing and collections
• Medical billing schooling a plus

Benefits

• PTO accrual (full time staff)
• Paid Holidays (full time staff)
• Education Reimbursement
• Medical, Vision, & Dental Options
• Supplies budget
• 401K with company match
• Flexible schedules
• Employee Assistance Program
• Floating Holiday (full time staff)
• 2 Personal/Sick Days per year (full time staff)
• Mileage Reimbursement

$12-18.00 an hour based on experience and education

Job Type: Full-time

Job Type: Full-time

Pay: $12.00 - $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Work setting:

• In-person

Application Question(s):

• Do you have knowledge of medical codes and terminology?

Education:

• High school or equivalent (Preferred)

Work Location: In person