Substance Abuse Disorder Billing Expert

2 months ago


Dallas, United States CalpionPlutus Health Full time
Job DescriptionJob DescriptionSalary:

Position Summary:
We are seeking a knowledgeable and experienced Substance Abuse Disorder Billing Expert, Mental Health inpatient billing Expert to join our team. The ideal candidate will have a deep understanding of billing processes, insurance claims, and compliance specific to substance abuse disorders. This role will be crucial in ensuring accurate and timely billing, maximizing revenue, and maintaining compliance with all relevant regulations.

Key Responsibilities:

Billing and Claims Management:


- Process and submit insurance claims for substance abuse disorder treatments.
- Monitor claims to ensure timely and accurate reimbursement.
- Address and resolve any issues related to denied or rejected claims.

-Collaborate with healthcare providers to ensure accurate coding and documentation for services rendered.

Compliance and Documentation:
- Ensure all billing practices comply with federal, state, and payer-specific regulations.
- Maintain thorough and accurate documentation for all billing activities.
- Stay updated on changes in billing regulations and guidelines related to substance abuse disorders.

Revenue Cycle Management:
- Analyze and optimize the revenue cycle processes to maximize revenue.
- Develop and implement strategies for improving billing efficiency and accuracy.

Reporting and Analysis:
- Generate regular reports on billing activities, revenue, and claim status.
- Conduct financial analyses to identify trends and opportunities for improvement.

Qualifications:

- Bachelor's degree in healthcare administration or a related field preferred.
- Minimum of 5 to 7 years of experience in medical billing, specifically in substance abuse disorder billing.
- Comprehensive knowledge of insurance claim processes and billing regulations.
- Proficiency in medical coding and familiarity with ICD-10, CPT, and HCPCS codes.
- Strong analytical skills and attention to detail.
- Excellent communication and customer service skills.
- Ability to work independently and as part of a team.
- Familiarity with billing software and electronic health record (EHR) systems.

Benefits:

- Competitive salary
- Health, dental, and vision insurance
- Paid time off and holidays
- Retirement plan options
- Professional development opportunities.


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