BILLING ADMINISTRATOR

We are seeking a meticulous and experienced CMS 1500 Claims Submission Specialist to join our behavioral health company. As a vital member of our team, you will be responsible for ensuring the accurate and timely submission of CMS 1500 claims for behavioral health services. The ideal candidate will possess a strong understanding of CMS 1500 billing guidelines, particularly as they relate to behavioral health services.

Responsibilities:

Review and verify all necessary documentation to support CMS 1500 claim submissions for behavioral health services, ensuring compliance with billing requirements and regulations.

Accurately enter patient demographics, provider information, diagnosis codes, and procedure codes into billing software systems.

Identify and resolve any discrepancies or errors in claims data to prevent claim denials and delays in reimbursement.

Stay updated on changes to CMS 1500 billing regulations, including any updates specific to behavioral health services, and ensure compliance with all applicable guidelines.

Collaborate with internal departments, including clinicians and administrative staff, to obtain any additional information needed for claim submissions.

Communicate effectively with insurance companies and payers to follow up on the status of submitted claims, resolve claim rejections, and appeal denied claims as necessary.

Maintain accurate and organized records of all claim submissions, payments, and follow-up actions taken.

Requirements:

Previous experience in healthcare billing and claims submission, with specific experience in CMS 1500 billing for behavioral health services preferred.

Proficiency in using billing software systems and familiarity with electronic health record (EHR) systems.

Strong knowledge of CMS 1500 billing guidelines, including CPT and ICD-10 coding, as they pertain to behavioral health services.

Excellent attention to detail and ability to accurately enter and review large volumes of data.

Effective communication skills, both written and verbal, with the ability to interact professionally with internal and external stakeholders.

Ability to work independently and efficiently manage time to meet deadlines in a fast-paced environment.

Certification in medical billing and coding preferred.

Join our team and contribute to our mission of providing high-quality behavioral health services while ensuring timely reimbursement through accurate CMS 1500 claims submissions.