Billing Specialist
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.