Medical Biller

MHA is hiring immediately for a Medical Biller. Under the direction of the Billing Manager, the Medical Biller is responsible for the timely submission of claims to insurance companies for Outpatient Behavioral Health Clinic services as well as our residential recovery service programs. This position will work collaboratively with Billing Team, the Billing Manager, and all clinic staff and with system-wide administration. Requires ability to appeal denied claims, record payments, and communicate effectively with providers, patients, and insurance companies.

Medical Biller Essential Position Functions:

• Prepare and submit accurate and complete billing claims and invoices
• Follow up on insurance denials and rejections in a timely manner
• Accurately resolve and resubmit denied claims and secondary insurance claims
• Investigate unpaid claims and submit appeals as needed
• Review patient statements before mailing
• Follow up on unpaid patient balances by establishing payment arrangements, and monitoring and pursuing delinquent accounts.
• Perform other duties as assigned by supervisor.

Requirements

Qualifications

• At least 2 years of medical/behavioral health billing experience is preferable.
• Experience working Insurance claim denials
• Experience with AR Management
• Ability to research Insurance Websites for the documented regulations on current original claims submissions, correct denial resolutions as well as how to correct claims properly
• Ability to communicate to the Billing Team and Supervisor problems and/or issues that need additional interventions
• The candidate must have a strong financial background with knowledge of ICD-10 and CPT coding
• Strong attention to detail and accuracy
• Ability to interact openly and professionally with clients, billing team, and Supervisor.
• Solid verbal and written communication skills.

Special Knowledge, Skills, and Abilities

• Proficiency with electronic medical records (EMR)
• Ability to effectively work claims and claim denials to ensure maximum reimbursement for services rendered.
• Ability to read and interpret insurance Explanation of Benefits.
• Ability to utilize monthly aging account receivables report to follow up on unpaid claims aged over 30 days.
• Respond to inquiries from payors, and patients in a timely fashion.
• Skilled in computer keyboarding, insurance carrier websites, and use of spreadsheet applications
• Knowledge of medical office management functions and procedures.
• Knowledge of diagnostic and procedure coding, medical record documentation practices, medical, computerized medical office systems applications, customer relations principles, and generally accepted safety practices.
• Ability to work collaboratively with clinical care providers
• Ability to establish and maintain harmonious and cooperative working relationships with others and demonstrate empathetic, respectful, and positive customer relations behaviors.
• Ability to manage multiple priorities simultaneously and maintain composure in stressful situations.
• Ability to envision desired outcomes and applies systematic actions to achieve expected results.
• Ability to work independently, exercise good judgment, and accept personal responsibility.

Benefits

• Health Care Plan (Medical, Dental & Vision)
• Retirement Plan (403B, IRA)
• Life Insurance (Basic, Voluntary & AD&D)
• Paid Time Off (Vacation, Sick & Public Holidays)
• Family Leave (Maternity, Paternity)
• Long Term Disability