Biller
Pay: $18.00 – $23.00 per hour
Job description:
We are seeking a detail-oriented and knowledgeable Biller to join our revenue cycle branch. The ideal candidate will possess expertise in behavioral healthcare billing, with a strong understanding of healthcare terminology, medical coding, and billing procedures. As a Biller, you will be responsible for accurately reviewing billable claims, managing denials and pursuing appeals, assisting providers in billing compliance, and producing reports for the Revenue Cycle Manager.
Responsibilities and Duties:
- Serves as primary biller for the business, and billing liaison to Revenue Cycle Manager.
- Performs all primary tasks related to billing, including submission of claims, statement invoicing of clients, payment collections, and payment posting.
- Ensures charges are finalized in KIPU in timely manner to push into CollabMD.
- Submits claims in a timely manner via CollabMD to the clearinghouse.
- Follows up on any rejected claims, corrects issues and resubmits.
- Follows up and researches claim denials.
- Supports admin department with confirming insurance eligibility and verifications of benefits as needed.
- Submits all Recovery Works claims via WITTS system.
- Ensures all insurance ERA’s are posted promptly and correctly when received.
- Follows up and/or disputes possible recoupments.
- Enters data into various electronic systems while maintaining the integrity and accuracy of the data.
- Fields calls from insurance payors regarding receipt of claims and payment statuses.
- Answers client questions on patient responsibility portions, copays, deductibles, write-off’s, etc.
- Resolves client complaints regarding insurance payments and coverage.
- Maintains and track clients’ deductibles, coinsurance, and copay amounts.
- Assists with preparing appeal letters to insurance payors when not in agreement with claim denials.
- Follows HIPAA guidelines in handling protected patient information.
- Prepare summary reports for leadership on a regular basis.
- Other administrative duties as assigned. **Not an exhaustive list; responsibilities subject to change based upon the needs of the business and team.
Qualifications and Requirements:
- Must have at least 2-5 years of previous experience in a medical billing position, preferably in the area of behavioral health.
- Solid record of high Clean Claim Rates and low Claim Denial rates highly valued.
- Demonstrated knowledge of Prior Authorizations.
- Experience with ICD-10 and CPT coding.
- Electronic medical record software experience preferred.
- Must be committed to fostering a positive culture of mutual team support, collaboration, and kindness.
- Must be well organized, be flexible, be patient, and be willing to learn.
- Must be energetic, motivated, self-sufficient, creative, and reliable.
- Must complete and pass a full criminal background check and Urine Drug Screen.
- Must possess basic First Aid and CPR certification, or be willing to get certified within 6 months of hire.
- Must be comfortable in a fast-paced environment and able to work under some pressure.
Benefits:
- 401(k)
- Flexible schedule
- Paid time off
- Professional development assistance
