Billing Specialist

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Reports To: Billing Manager

FLSA Status: Non-Exempt 

Work Schedule: Full Time 

Salary: Hourly


Position Summary:

At Thrive Behavioral Health Center, we deliver industry-leading peer support for those suffering from Mental Health and/or Substance Use Disorders.  We are proud to set the industry standard and continue our growth. A Billing Specialist is responsible for processing all health insurance claims for the company. 


Essential Duties and Responsibilities:

  • Ensures correct billing codes and patient information in the Electronic Medical Record system

  • Prepare, review, and transmit claims using billing software to third party payers

  • Reconcile and apply insurance payments to correct patient invoices

  • Monitor and collect delinquent accounts by following up with insurance providers and claim resubmission within a standard timeframe

  • Contact payers regarding payment discrepancies

  • Assist with enhancing and automating the billing process where it makes sense

  • Ensure audit readiness at all times to maintain compliance within the billing process

  • Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations

  • Other duties as assigned 


Requirements:

  • At least one year experience in medical billing, accounts receivable or medical office setting

  • Experience dealing with financial information

  • Knowledge of insurance guidelines and  payor requirements, particularly Medicaid

  • Understanding of billing software and electronic medical records

  • Familiarity with medical billing and CPT and ICD-10 coding

  • Ability to be an active listener by asking questions and reflecting on what is being said

  • Proficient level of ability with computer; Microsoft Office Products

  • Effective written and oral communication skills; ability to articulate information clearly

  • Attention to detail


Education: High School Diploma or GED equivalent 


Behavioral Competencies:

  • Leadership

  • Empathy

  • Compassion

  • Positive Attitude

  • Mission-driven

  • Accountability


Physical Demands: The physical demands described here are representative of those that should be met by an individual to successfully perform the essential duties of this job. Reasonable accommodations may be available to enable individuals with disabilities to perform the essential duties. The position requires sitting and standing throughout the day, manual dexterity to type on a computer keyboard and operate general office equipment.
THRIVE BEHAVIORAL HEALTH CENTER is an EEO employer - M/F/Vets/Disabled
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