BILLING SPECIALIST NEEDED ASAP!
Dynamic Youth Community, Inc. is seeking a Full-time Billing Specialist. This individual will be responsible for the creation of claims, tracking of eligibility, and follow-up of all denials for the facility. Description: The Full-time Behavioral Healthcare Biller: · Assists in the preparation and submission of claims for behavioral health services, ensuring compliance with both healthcare policies and billing codes. · Diligently follows up on denied claims, investigating the cause of the denial, rectifying any errors and resubmitting the claim as necessary. · Performs regular eligibility checks for patients, verifying insurance coverage and informing the appropriate parties of any changes or issues. · Maintains accurate and updated patient billing records, ensuring confidentiality and adherence to HIPAA and 42 CFR Part 2 Regulations. · Provides support to the department in the resolution of billing discrepancies and issues. · Collaborates with healthcare providers and staff to ensure accurate and timely billing of services is provided. · Assists in the preparation of reports detailing billing activities, denials and resolution efforts. · Utilizes billing software efficiently and keeps up to date with changes in insurance regulations and billing practices. · Coordinates with contracted payers to ensure compliance, and negotiates updates to contracts in conjunction with agency management. · Completes additional billing-related tasks as requested by supervisor. Standard Criteria: · Interacting with staff, clients and visitors in a courteous, professional and respectful manner that is consistent with the agency's missions and values. · Producing accurate, neat and thorough work. · Prioritizing and planning work efficiently; effectively managing competing demands and dealing with changes, delays, as well as unexpected events. · Understanding and consistently complying with agency policies and procedures (including time and attendance, dress code, etc.) · Supporting a positive work atmosphere by behaving and communicating in a manner that allows the employee to get along with clients, coworkers and supervisors. · Communicating (in writing & orally), clearly and concisely. · Illustrating flexibility and adaptability in role and function when circumstances warrant; (demonstrates openness to assist in needed responsibilities in evolving situations). · Maintaining appropriate boundaries, ethics and professionalism; complying with agency, OASAS and other professional code(s) of ethics; seeking supervision when challenges arise. Qualifications High school diploma or equivalent required; additional certification in Medical Billing or related field is preferred. Minimum of two (2) years of experience in healthcare billing, preferably within the behavioral healthcare sector. Knowledge of healthcare billing practices, coding, insurance processes, and related regulatory requirements. Proficiency in using healthcare billing software (10e11, IMA, etc.) and basic office software (eg, Microsoft Office Suite). Strong attention to detail & accuracy. Excellent communication and interpersonal skills. Ability to work independently and manage multiple tasks concurrently. Understanding of and adherence to confidentiality and HIPAA regulations. Commitment to continuous learning and improvement in the evolving field of healthcare billing.
