Billing Specialist

4 weeks ago

Chicago, United States CTSHealth Full time

**Who we are**

CTS Health Services is a community mental health services center that specializes in a holistic approach to health and wellness for children, parents, and adults of varying circumstances and mental challenges. We provide one-on-one behavioral interventions for our clients and their support circles to help our clients navigate through life within their community at their highest level.

A Billing Specialist is responsible for assisting with overseeing the billing process for customers or patients. Their duties include processing payments on behalf of a customer or patient, maintaining organized financial records to aide reporting and calculating bill totals by looking through previous financial statements
- **This individual must live in or around the CHicagoland area due to needing to commute to the office when needed**_
- **Currently living in or around the Chicagoland area, required.**:

- Understanding of ICD-10 and CPT coding
- Medical Billing - 5+ years, preferably with both physical and mental health
- Certification, education, or training in medical billing and coding, preferred
- Experience with billing and insurance verfication with Medicaid, Medicare, and Commercial payer
- Experience with payment posting and end of day reconciliation
- Strong computer skills including MS Excel and proficiency working with spreadsheets.
- Great organizational, communication, organization, and problem-solving skills.
- Self-motivated, work independently with mínimal direction.

**The Billing Specialist's responsibilitites consists of, but not limited to**:

- Coding outpatient medical and behavioral health medical records.
- Reconciling insurance claim denials in a timely manner.
- Identifies carrier-related denial trends and payment problems that need to be reported to the Finance and Operations Department.
- Creates and submits accurate spreadsheets of outstanding accounts receivable to assigned payors and pursues balances owed.
- Verifies that the services are correctly authorized and that required documentation is on file prior to billing.
- Ensures that all required documentation for billing is completed and accurate prior to claim submission.
- Submits timely, accurate invoices to payer for products and services provided.
- Submit invoices to patients and recoup any outstanding balances on patient accounts within the proper timeframe.
- May assist in training new team members.
- Other duties tasked by immediate supervisor

**Training **will be completed with CTS if not already in possession:

- CTS Health orientation
- Rule 132
- Service Definition
- OIG Rule 50
- First Aid/CPR/AED/Bloodborne Pathogen
- HIPAA
- Client Rights
- Confidentiality
- Mandated Reporter
- Health and Safety
- Cultural Competency
- Workplace Violence and Safety
- Waste, Fraud & Abuse

What you get:

- Full benefits package after 90-day probationary period
- Flexible hours and schedule
- Growth opportunities
- Encouragement of creativity
- Holistic and supportive culture and environment
- Referral bonus

Pay: $20.00 - $25.00 per hour

**Benefits**:

- 401(k)
- Dental insurance
- Employee assistance program
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance

Schedule:

- Day shift
- Monday to Friday

Application Question(s):

- Do you have a minimum of 5 years of billing and collection experience?
- Are you able to work 40 hours per week with extended hours if needed?
- Can you navigate efficiently through EMR systems and payer web portals?
- Do you have a vast knowledge of IL insurance payers?
- Do you have any problem with traveling to our other Chicago locations if required?

**Experience**:

- Behavioral health: 1 year (preferred)
- Medical billing: 5 years (required)

Ability to Commute:

- Chicago, IL 60639 (required)

Work Location: In person

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