Billing Associate

Tuerk House
Baltimore, MD Full Time
POSTED ON 12/12/2023 CLOSED ON 12/14/2023

What are the responsibilities and job description for the Billing Associate position at Tuerk House?

Position Summary:
The Billing Associate is responsible for timely submission of Medical/Behaviorial Health claims to the reimburing provider. The Billing Associate will prepare, review, and transmit Medical/Behaviorial Health claims through the billing platform, after ensuring all patient data and billing units are accurate per the patients treatment episode.

Duties and Responsibilites :
  • Verify patient insurance coverge with Medicaid, Medicare and Private insurance companies
  • Submit Medical/Behaviorial Health claims to the reimbursing provider by quantifying billable units per client treatment episode
  • Review daily patient census for new admissions and discharges
  • Review Optimum Health System to ensure all authorizations and concurrent reviews have been completed
  • Review the Concurrent patient listing daily/weekly as appropriate per location
  • Investigate and resolve and denied insurance claims
  • Distribute weekly report to administration detailing gross amounts billed
  • Provide annual budget estimate for projected revenue by level of care and reimbursement rates.
Knowledge, Skills & Abilities, Education and/or Experience:
  • Medical/Behaviorial Health administration, billing, insurance credentialing,
2 years (Preferred)

  • High school or equivalent (Required)

This job description provides a summary of the major duties and responsibilities performed by individuals in this position. Incumbents may be asked to perform other tasks not specifically written in this job description. These additional duties and responsibilities may be assigned as deemed necessary by the Director of Finance.
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