Billing Specialist Behavioral Healthcare

3 weeks ago


Irvine, California, United States Discovery Behavioral Health DBH Full time

Job Summary: We are seeking a skilled Billing Specialist to join our team at Discovery Behavioral Health DBH. The successful candidate will be responsible for effective communication and coordination with insurance companies and clients to obtain the maximum benefits for our clients.

Key Responsibilities:

  • Establish relationships with insurance carriers and obtain accurate, detailed insurance benefit information by phone and via the internet.
  • Create and submit claims to appropriate payors.
  • Review data on insurance policies to ensure accurate claim processing and payment.
  • Accurately utilize the billing system.
  • Ensure corrected claims are submitted in a timely manner.
  • Prepare materials for submission to insurance companies as requested.
  • Contact clients to collect on outstanding account balances.
  • Perform general office duties and keep desk clean and organized.

Requirements:

  • 1-year minimum healthcare experience with billing or insurance verification required.
  • Basic understanding of insurance terminology (out-of-network benefits vs. in-network benefits, as well as coinsurance, co-pays, and deductibles), in addition to general billing practices.
  • Coding/Billing Certificate from an accredited institute or school preferred.
  • Knowledge of SUD, IOP, and Mental Health programs.
  • Knowledge and experience with EMR and billing software programs required.
  • Knowledge and experience with Medics software a plus.

About Us: Discovery Behavioral Health seeks to build a diverse staff that is reflective of the patients we serve and the communities where we work.



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