Behavioral Health Billing Specialist

5 days ago


Kensington, Maryland, United States International Pediatrics Full time
Job Summary

We are seeking a skilled Behavioral Health Billing Specialist to join our team at International Pediatrics. The successful candidate will be responsible for ensuring accurate and timely billing of behavioral health claims in accordance with federal and state guidelines.

Key Responsibilities:
  • Claims Processing: Review and process daily billing claims with attention to detail and accuracy.
  • Clinical Documentation: Verify the accuracy and completeness of clinical documentation from EMR billing reports.
  • Billing Guidelines: Stay up-to-date with departmental billing guides, payer rules, and changes to billing guidelines.
  • Medicaid Regulations: Maintain current knowledge of Medicaid billing regulations and requirements.
  • Electronic Claims: Prepare and submit electronic claims on a UB04 or CMS 1500 format.
  • Utilization Review: Actively participate in utilization review to resolve issues with patient authorizations.
  • Provider Communication: Communicate with providers to request diagnosis or other data when necessary.
  • Claim Verification: Verify the completeness and accuracy of all claims before submission.
Requirements:
  • Education: High school diploma or GED.
  • Experience: Administrative experience and previous billing experience preferred.
  • Skills: Excellent communication and interpersonal skills, ability to work independently and collaboratively in a fast-paced environment.
Benefits:
  • Health Insurance: Comprehensive health insurance package.
  • Dental Insurance: Dental insurance coverage.
  • Vision Insurance: Vision insurance coverage.
  • 401(k) Plan: Generous 401(k) plan with company match.
  • Paid Time Off: Competitive paid time off package.


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