Insurance Billing Specialist and Administrative Support

3 weeks ago

Colorado Springs, United States MasterMind Clinic, PLLC Full time
Job DescriptionJob Description

POSITION: Insurance Billing Specialist and Administrative Support
REPORTS TO (title): Practice Manager
EFFECTIVE DATE:

JOB SUMMARY:
• Responsible for RCM (Revenue Cycle Management) with psychiatric mental health outpatient clinic
managing billing process in house
• Responsible for maintaining insurance contracts and credentialling
• Accurately manages insurance claims, as well as payment collection with insurance carriers,
intermediaries, and patients.
• Provides support for clinical and administrative staff with patient flow to ensure a positive patient
experience.
• Assist with administrative duties, as assigned
SUPERVISORY RESPONSIBILITIES:
None


DUTIES/RESPONSIBILTIES:
Mental Health Coding and Billing
i. Revenue Cycle Management (RCM) for Psychiatric mental health E/M, add on therapy
services, behavioral health coding, and insurance reimbursement, denial management and
other aspects of RCM preferred.

1. Electronic billing claims via EHR (Charm EHR and Optum EDI experience a plus)
- Responsible for clean, accurate, and timely claims.
- Claim Management: Manage Outstanding Claims with denials and rejections to
recover claims.

2. Accounts Receivable Management


ii. Experience with various insurance plans to include

1. Governmental plans: Medicare, Medicaid, Tricare
2. Marketplace plans
3. Private/Commercial Insurance plans
4. Self-pay or other insurance payment options


2. Staff and Patient Interaction:
a. Work directly and indirectly with patients, staff, and students for optimal patient experience with
the flow for the patient visit.
i. Support Admin and Provider staff with coverage of front desk and back desk, as needed.
ii. Support growth and development of clinic.

3. Knowledge of:
a. Various Insurance plans (Governmental, Commercial, Exchange, and others) related to
i. Determination of benefits
ii. Eligibility
iii. COB
iv. Timeliness Rules and Guidelines
v. Denials
vi. Prior Authorization for Services and Prescriptions
b. Credentialing Process for all insurance types
i. CAQH
ii. PECCOS (NPI 1 and 2)
iii. Insurance Onboarding and Off-Boarding
iv. Periodic Revalidation with insurance carriers
c. E/M coding psychiatric mental health, therapy add on codes, modifiers, and tele-visits.
i. Familiarity with eClaims using Form 1500 Format
ii. Accurately verifies claim information before submission
1. Appropriate CPT codes with charges, appropriate modifiers, supporting ICD-10
coding with proper positioning, POS,
2. Primary, secondary and other insurance carriers
3. Correct demographics and other details
d. Payment application and Reconciliation:
i. EFT, Checks, or Patient payments applied to outstanding invoices in EHR.
ii. ERA and EOB reconciliation
iii. Claim management with denials, rejections, and reconciliation.
iv. Accounts Receivable management
v. Answers billing inquiries from patients, staff, providers, and insurance companies
e. Periodic Reporting:
i. Reconciliation at End of Day
ii. Month End reporting

Performs other related duties as assigned.

REQUIRED SKILLS/ABILITIES::
f. Motivated, eager to learn, and grow within a position.
g. Positive, Effective, and clear communication skills (written and verbal)
h. Ability to self-organize, prioritize, and manage time
i. Ability to maintain strict confidentiality (HIPAA) with strong boundaries for patients.
j. Knowledge of basic medical terminology, common acronyms, and insurance jargon.
k. Proficient with the use of computers and web-based technology
l. Proficient with bookkeeping and reconciliation
m. Knowledge of generally accepted accounting principles (GAAP) preferred
n. Possess analytical reasoning and abilities to figure out complex insurance or accounting situations.


4. Experience with:
a. Communication Skills/Experience/Customer Service (at least 2 years required)


EDUCATION AND EXPERIENCE:
High School Graduate or GED, and college or vocational training preferred, but not required.
Communication Skills/Experience/Customer Service (at least 2 years required)
Mental Health Coding and Billing Experience (at least 1 year preferred)

  • Billing Specialist

    3 weeks ago

    Colorado Springs, United States Adventure Learning Behavioral Interventions Full time

    Job DescriptionJob DescriptionBilling SpecialistAdventure Learning Behavioral Interventions is seeking a skilled Biller to join our company. The Biller plays a crucial role in our operations, ensuring seamless financial processes and facilitating the accessibility of ABA, SLP, OT, and other therapy services for our clients. The Biller at Adventure Learning...

  • Medical Billing Specialist- Ophthalmology

    1 week ago

    Tarpon Springs, United States P.M. Medical Billing Full time

    Job DescriptionJob DescriptionP.M. Medical Billing, the original and largest National Ophthalmology Billing Company is once again hiring! We are a full-service medical billing firm specializing in Ophthalmology, providing clients all over the country with the most expert knowledge and service.We welcome you to join the original and fastest-growing national...

  • Medical Billing Specialist- Ophthalmology

    3 days ago

    Tarpon Springs, United States P.M. Medical Billing Full time

    Job DescriptionJob DescriptionP.M. Medical Billing, the original and largest National Ophthalmology Billing Company is once again hiring! We are a full-service medical billing firm specializing in Ophthalmology, providing clients all over the country with the most expert knowledge and service.We welcome you to join the original and fastest-growing national...

  • Billing and Coding Specialist

    Found in: Talent US C2 - 3 weeks ago

    Colorado Springs, United States Peak Gastroenterology Associates Full time

    Job Summary:The Billing and Coding Specialist is responsible for supporting the department in maximizing revenue and cash flow by validating ICD and CPT codes, performing charge entries, following up on all outstanding A/R, including resolution of denials, and generating effective written appeals to carriers to maximize reimbursement on incorrectly denied...

  • Billing Specialist

    2 weeks ago

    Colorado Springs, United States Comfort Dental - Citadel Crossing Full time

    Job DescriptionJob DescriptionWe are seeking an energetic, detail-oriented individual to join our Billing team to process patient check outs, bill patient insurance, verify insurance benefits, answer multi-line phone system and make appointments to join our fast-paced team. Prior dental/medical billing experience is required.Powered by JazzHRlGK3h9lnui

  • Medical Billing Specialist

    2 weeks ago

    Colorado Springs, United States Heuser & Heuser, LLP Full time

    Job DescriptionJob DescriptionWe are in need of a highly organized Medical Billing Specialist to join our team at a Personal Injury Firm located in Colorado Springs, CO, US. The chosen candidate will have the responsibility of overseeing client medical accounts, calculating settlement payouts, and maintaining accurate medical financial...

  • Medical Billing Specialist

    3 days ago

    Colorado Springs, United States Heuser & Heuser, LLP Full time

    Job DescriptionJob DescriptionWe are in need of a highly organized Medical Billing Specialist to join our team at a Personal Injury Firm located in Colorado Springs, CO, US. The chosen candidate will have the responsibility of overseeing client medical accounts, calculating settlement payouts, and maintaining accurate medical financial...

  • Executive Administrative Specialist

    Found in: Talent US C2 - 2 weeks ago

    Colorado Springs, United States ASRC Federal Holding Company Full time

    Job TitleExecutive Administrative SpecialistLocation1975 RESEARCH PKWY, COLO SPRIN-CO010Job DescriptionASRC Federal Cyber is seeking an Executive Administrative Specialist for our team in Garden of the Gods, CO. Key Role:Support a Director level office. Expedite internal/external taskings, distribute, track, and coordinate action items to closure within...

  • Business Administration Associate

    Found in: Resume Library US A2 - 2 weeks ago

    Colorado Springs, Colorado, United States IT Specialists Full time

    IT Specialists is seeking a motivated and detail-oriented Business Administration Associate to join our team. As a Business Administration Associate, you will play a vital role in supporting various administrative and operational tasks within the company. You will work closely with different departments and team members to ensure smooth business operations...

  • Executive Administrative Specialist

    1 day ago

    Colorado Springs, United States ASRC Federal Holding Company Full time

    ASRC Federal Cyber is seeking an Executive Administrative Specialist for our team in Garden of the Gods, CO. Key Role: Support a Director level office. Expedite internal/external taskings, distribute, track, and coordinate action items to closure within specified timelines. Coordinate and manage scheduling of appointments, meeting and events. Support the...

  • Business Administration Associate

    7 days ago

    Colorado Springs, United States IT Specialists Full time

    IT Specialists is seeking a motivated and detail-oriented Business Administration Associate to join our team. As a Business Administration Associate, you will play a vital role in supporting various administrative and operational tasks within the company. You will work closely with different departments and team members to ensure smooth business operations...

  • Business Administration Associate

    Found in: Appcast Linkedin GBL C2 - 7 days ago

    Colorado Springs, United States IT Specialists Full time

    IT Specialists is seeking a motivated and detail-oriented Business Administration Associate to join our team. As a Business Administration Associate, you will play a vital role in supporting various administrative and operational tasks within the company. You will work closely with different departments and team members to ensure smooth business operations...

  • Business Administration Associate

    Found in: Appcast US C2 - 7 days ago

    Colorado Springs, United States IT Specialists Full time

    IT Specialists is seeking a motivated and detail-oriented Business Administration Associate to join our team. As a Business Administration Associate, you will play a vital role in supporting various administrative and operational tasks within the company. You will work closely with different departments and team members to ensure smooth business operations...

  • Business Administration Associate

    3 weeks ago

    Colorado Springs, United States IT Specialists Full time

    Job DescriptionJob DescriptionIT Specialists is seeking a motivated and detail-oriented Business Administration Associate to join our team. As a Business Administration Associate, you will play a vital role in supporting various administrative and operational tasks within the company. You will work closely with different departments and team members to...

  • Legal Billing Specialist

    2 weeks ago

    sandy springs, United States Beacon Hill Staffing Group, LLC Full time

    Our client, a well-established law firm in the north Buckhead area, is seeking a Billing Specialist with at least two years of law firm billing experience for a permanent, direct-hire position.Billing Specialist will be responsible for:Reviewing pre-bills and working with att...

  • Legal Billing Specialist

    Found in: Jooble US O C2 - 1 week ago

    Sandy Springs, GA, United States Beacon Hill Staffing Group, LLC Full time

    Our client, a well-established law firm in the north Buckhead area, is seeking a Billing Specialist with at least two years of law firm billing experience for a permanent, direct-hire position. Billing Specialist will be responsible for: Reviewing pre-bills and working with att...

  • Medical Billing Specialist

    Found in: Resume Library US A2 - 2 weeks ago

    Broomfield, Colorado, United States Concentra Career Choice Full time

    Overview: Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process. From our Dallas corporate headquarters to our clinics and worksite locations, Concentra colleagues remain focused on our driving...

  • Front Desk Administrator

    Found in: Resume Library US A2 - 2 weeks ago

    Denver, Colorado, United States Mindful Support Services Full time

    Are you looking to work in a fast-paced, supportive environment? Have you been trying to find a role that challenges you and helps you build applicable skills to use in your career? If you have customer service skills and a passion for learning, you’ve come to the right place! Candidates with restaurant and hospitality backgrounds are encouraged to...

  • Insurance Sales Specialist

    2 weeks ago

    Colorado Springs, United States Washburn & Associates, Ltd. Full time

    Job DescriptionJob DescriptionBenefits:Remote Work optionBonus based on performanceFlexible scheduleOpportunity for advancementPaid time offTraining & developmentWellness resourcesObjectiveThe Sales Specialist role markets, prospects, and sells American Family Insurance products in a specialized product line. Maintains effective customer relationships,...

  • Medical Insurance Specialist

    2 weeks ago

    Bonita Springs, United States Raymond E. Peters, Inc. Full time

    Job DescriptionJob DescriptionWe are seeking an experienced Medical Insurance Pre-Authorization Specialist to join our team!Responsibilities: Work with the administrative team and two Practitioners as Prior Authorization Specialists to receive prior approvals from Medical Insurance Companies for patients who are out of network with their plans.Obtain a Gap...