Medical Biller Specialist

4 weeks ago


Chicopee Massachusetts, United States Mental Health Association - Western MA Full time
Medical Biller Job Description

Mental Health Association - Western MA is seeking a skilled Medical Biller to join our team. As a Medical Biller, you will play a crucial role in ensuring the timely submission of claims to insurance companies for our Outpatient Behavioral Health Clinic services and residential recovery service programs.

Key Responsibilities:
  • 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
Requirements:
  • 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
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


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