Healthcare Billing Specialist

2 weeks ago

New York, New York, United States The Dorm LCSW PLLC Full time

About Us:
For over 15 years, The Dorm has been a mission-driven, client-centered mental health organization dedicated to providing comprehensive, evidence-based treatment to young adults. We are seeking a dedicated Healthcare Billing Specialist to join our multidisciplinary team and contribute to our mission of making a meaningful impact in the lives of our clients.

At The Dorm, you will be part of an innovative approach to mental health care, utilizing an integrative treatment model and outcomes research approved by a third-party validated Institutional Review Board (IRB). Our unique blend of individualized therapy, skills coaching, family engagement, group-based clinical support, and a vibrant community experience sets us apart in the industry. We offer competitive salaries ranging from $60,000 to $75,000, based on experience, and a strong commitment to diversity and inclusion in the workplace.

Key Responsibilities:

  • Prepare and submit accurate claims to insurance carriers for timely reimbursement.
  • Investigate and resolve claim denials, identifying root causes and taking necessary actions to appeal or correct denied claims.
  • Communicate with prospective families regarding their out-of-network benefits and potential reimbursements.
  • Assist families in verifying coverage and eligibility, including obtaining pre-authorization for treatment when necessary.
  • Provide ongoing support and customer service to clients and families, addressing inquiries and facilitating communication with insurance carriers.
  • Ensure compliance with healthcare regulations, coding guidelines, and insurance policies while adhering to best practices in medical billing.
  • Monitor outstanding claims, follow up with insurance companies, and address any discrepancies to ensure timely reimbursement.
  • Record and reconcile payments received, ensuring accuracy and updating patient accounts accordingly.
  • Generate and analyze financial reports related to billing, collections, and outstanding accounts, providing insights to management.
  • Collaborate with internal and external auditors to prepare for insurance audits, ensuring compliance with regulatory requirements.
  • Maintain positive relationships with clients, staff, and referral sources, fostering a collaborative environment.
Qualifications:
  • 2-3 years of experience in medical billing, preferably in an outpatient behavioral health setting.
  • Detail-oriented and organized, with a self-motivated approach to completing projects.
  • Strong commitment to customer service, ensuring an exceptional experience for clients and staff.
  • Excellent written and verbal communication skills, with the ability to engage effectively with families and payors.
  • Proficient in computer skills, including Google Suite, billing software, and electronic health records (EHR) systems.
  • Thorough understanding of medical terminology, ICD-10, CPT coding, and health insurance policies.
  • Knowledge of insurance billing procedures and requirements is highly preferred.
  • Certification in Medical Billing and Coding is a plus.
  • Understanding of healthcare regulations and compliance standards.
  • Uphold ethical standards in billing practices and ensure compliance with applicable laws and regulations.
What We Offer:
  • Unlimited Paid Time Off (PTO) to promote a well-rested and recharged team.
  • Comprehensive benefits package, including medical, dental, vision, and a 401K with company match.
  • Access to in-house clinical and DEIB trainings, along with a yearly allowance for continuing education credits (CEUs).
  • Opportunity to build long-term therapeutic relationships with clients, with an average length of stay of 12 months.
  • A flexible and creative team-based work environment.
  • Opportunities to expand your impact through research collaboration and participation in innovative programs.
  • Family-owned and operated, with a commitment to being a trusted, CARF-accredited organization.

We are an equal opportunity employer, considering applicants based on merit and qualifications without regard to any protected characteristic.

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