Medical Billing Specialist

Job Description

Nextus Billing Solutions specializes in Billing and Claims services for Behavioral Health/Substance Abuse facilities. We are seeking motivated individuals with a desire to be a part of a winning team. We are a fast paced, progressive company with our main headquarters based in Boca Raton, Florida and now expanding to a new location in Philadelphia, Pennsylvania.

Job Summary

The Billing Specialist performs a variety of functions which includes navigating billing software and carrier web sites, accurate data entry of claims, communicating with insurance carriers via phone and fax as needed, read EOB and benefits with understanding in relation to claims submissions, communicate findings to management, and other related functions.

Responsibilities and Duties

Proficiency in the billing claims process

Familiar with navigating billing software programs

Accurately and efficiently enter data and bill claims for professional and institutional services

Effective follow up via payer web portals, phone and other computerized methods

Experience in identifying and submitting corrected claims

Qualifications and Skills

Must be familiar with all aspects of electronic billing for residential detox partial hospitalization, and intensive outpatient care, and the code occurring in the substance-abuse field

Out-of-Network Commercial Insurances knowledge

Understanding of Revenue Cycle

Previous medical billing experience along with knowledge of billing related reporting ( CPT, HCPS , ICD 10) required

Certified Medical Biller preferred

Prefered experience in EMR system

Follow up on all outstanding A/R of all payers, self pay and the resolution of denials

Proficiency with Microsoft Office products including Word, Excel, and Power Point

Process billing with procedure codes for service , service date ,amount, and diagnostic codes

**2 Years Behavioral Health Medical Billing Experience required**

Benefits

Medical, Dental, Vision and Other Supplemental Coverage

Paid Time Off; Paid Holidays

40-hour work week

Positive work environment

Job Type: Full-time

Pay: $45,000.00 - $50,000.00 per year

Benefits:

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

Schedule:

• Monday to Friday

Experience:

• Medical Billing: 2 years (Required)

License/Certification:

• Medical Billing Certification (Preferred)

Work Location: In person