Billing and Insurance Specialist

5 days ago


Kingston, Pennsylvania, United States Moriah Behavioral Health Full time

Job Type: Full-time

Description

SUMMARY: The Billing and Collections Specialist at Moriah Behavioral Health is responsible for billing services, collecting payments, maintaining records, and verifying insurance benefits. This role requires strong communication skills and adherence to policies and regulations such as CARF, HIPAA, client confidentiality, and Moriah Behavioral Health best practices.

Duties and Responsibilities

  • Maintains client demographic information and data collection systems.
  • Verifies insurance benefits and eligibility for behavioral health by utilizing online websites or by contacting carriers directly.
  • Communicates with Utilization Review/Admissions Teams for Verification of Benefits (VOB), change of insurance, etc.
  • Represents the Billing and Collections Department to all internal and external inquiries.
  • Responds to medical record requests from the insurances and follows up with Clinical Documentation Specialist.
  • Participates in educational activities and attends regular meetings.
  • Reviews client charts for attendance and updated information to ensure accuracy of billing.
  • Works seamlessly with Utilization Review, Clinical, and Admission Teams to develop best practices, policies, and procedures as they relate to Billing and Collections.
  • Maintains accurate financial records and follows payment procedures.
  • Monitors outstanding balances to ensure each account is paid on time and in full.
  • Monitors multiple client accounts.
  • Ensures all claims are error-free before submission.
  • Manages the status of accounts and balances and identifies inconsistencies.
  • Updates accounts receivable database and new accounts.
  • Ensures all clients remain informed on their outstanding debts and deadlines.
  • Provides solutions to any relative challenges of clients.
  • Notifies Clinical Documentation Specialist and/or Director of Billing and Collections if clinical data is not up to date.
  • Works closely with Team Members to create and submit claims as well as client statements.
  • Works closely with clients to create applicable payment plans for balances due.
  • Maintains current knowledge and understanding of the laws, regulations, and policies that pertain to Moriah Behavioral Health and insurance provider business practices.
  • Checks emails periodically throughout the day and responds appropriately.
  • Must be willing to work on-call rotation as assigned for nights and weekends as needed.
  • This position is required to be present in the office and is not a remote position.
  • Must be willing to work weekends as needed. When it is needed, unless otherwise required, you may work remotely via phone and email, etc.
  • Must be able to work flexible hours from 7 a.m. to 9 p.m. EST/EDT.
  • Able to build connections while creating trust and rapport.
  • Strong understanding of medical necessity criteria is preferred.
  • Maintains confidentiality and HIPAA compliance in accordance with Moriah Behavioral Health policies.
  • Maintains and meets CARF certification requirements in accordance with Moriah Behavioral Health policies.
  • Adherence to laws and best practices in regard to dealing with clients and confidential data.
  • Follows all Moriah Behavioral Health's policies and procedures.
  • Performs other related duties as assigned by Supervisor or Greater.

Requirements

QUALIFICATIONS:
  • High school diploma or general education degree (GED), 6 months of related experience and/or training, or equivalent combination of education and experience.
  • Possess the ability to function effectively in a team environment and interact productively with all levels of team personnel and outside contractors.
  • Basic Math and Accounting principles.
  • Can understand and follow oral and written instructions.
  • Ability to read, write the following: Work Orders, instructions, daily reports, and system manuals.
  • Ability to receive and relate orders/information using various communication devices.
  • Applicants must be either a U.S. Citizen or have the legal right to work in the United States.
  • Must meet federal, state, and local criminal clearance and child abuse indexing requirements.
  • Applicants must pass a drug screen and submit to random drug testing as requested.
  • Applicants are also required to pass a general medical examination.
  • Computer Skills Required. Preferred (but not required) knowledge of Kipu, Google Docs, Excel, Salesforce, Collaborative MD.
  • Must possess a valid Driver's License or State ID.

Salary Description

$30,000.00 annual Moriah Behavioral Health



  • Kingston, Pennsylvania, United States Wilkes-Barre Hospital Company Full time

    Job SummaryWe are seeking a highly detail-oriented and organized individual to join our team as a Billing Specialist I at Wilkes-Barre Hospital Company. As a key member of our financial services team, you will be responsible for preparing bills and invoices, verifying billing information, and processing changes in our information system to ensure accurate...


  • Kingston, Pennsylvania, United States State Farm Insurance Full time

    Job Summary:As a key member of our team at State Farm Insurance, you will play a vital role in providing exceptional customer service and support. Your primary responsibilities will include assisting customers with their insurance needs, answering inquiries, resolving issues, and processing policy changes. You will also collaborate with team members to...


  • Kingston, Pennsylvania, United States Healthcare Support Full time

    Job OverviewHealthcare Support is seeking a skilled Radiologic Imaging Specialist for a 13-week contract in Kingston, Pennsylvania.Salary DetailsEstimated salary for this role is $49.16 per hour, with a weekly compensation of $2,065.20, including a tax-free stipend.About the RoleAs a Radiologic Imaging Specialist, you will play a critical role in providing...

  • ER Nurse Specialist

    4 weeks ago


    Kingston, Pennsylvania, United States Medical Solutions Full time

    ER Nurse Specialist Job OpportunityWe're seeking a skilled ER Nurse Specialist to join our team at Medical Solutions. As a Registered Nurse in the Emergency Room, you'll be responsible for providing high-quality patient care and working collaboratively with our team to ensure the best possible outcomes.About the JobWork as a Registered Nurse in the Emergency...


  • Kingston, Pennsylvania, United States OneMain Financial Full time

    Job SummaryWe are seeking a highly motivated and results-driven Consumer Loan Sales Specialist to join our team at OneMain Financial. As a Consumer Loan Sales Specialist, you will be responsible for delivering exceptional customer service, building strong relationships with customers, and providing them with personalized financial solutions to meet their...


  • Kingston, Pennsylvania, United States Moriah Behavioral Health Full time

    Job SummaryThe Utilization Review Specialist at Moriah Behavioral Health plays a crucial role in ensuring the delivery of high-quality patient care by reviewing and authorizing treatment plans. This position requires a strong understanding of clinical terminology, medical necessity criteria, and the ability to work effectively in a team environment.Key...


  • Kingston, Pennsylvania, United States ProCare Therapy Full time

    Job OverviewProCare Therapy is seeking a qualified Social Services Specialist to join our team in a school setting.Estimated Salary Range$60,000 - $80,000 per year, depending on experience.Job ResponsibilitiesAs a Social Services Specialist, you will work closely with the district to provide consultation and behavioral support planning. You will offer...


  • Kingston, Pennsylvania, United States FPI Management, Inc. Full time

    Job Title: Affordable Housing Certification SpecialistJoin FPI Management, Inc. as an Affordable Housing Certification Specialist and contribute to the success of our company. As a key member of our team, you will be responsible for ensuring compliance with affordable housing programs and regulations.Job SummaryWe are seeking a highly skilled and...


  • Kingston, Pennsylvania, United States Healthcare Support Full time

    Cath Lab Technologist Job OpportunityHealthcare Support is seeking a skilled Cath Lab Technologist to join our team for a 13-week contract in Kingston, Pennsylvania.Job RequirementsSpecialty: Catheterization LaboratoryDiscipline: Allied Health ProfessionalStart Date: ASAPDuration: 13 weeks40 hours per weekShift: 8 hoursEmployment Type: TravelCath Lab...


  • Kingston, Pennsylvania, United States ProCare Therapy Full time

    ProCare Therapy is seeking a skilled Nurse Care Specialist to join their team and provide exceptional care to a high school student with complex needs. Located near Kingston, PA, this full-time position offers a rewarding opportunity to make a real difference in a student's life.Job Overview37.5 hours per week, Monday to FridayCollaborate with a...


  • Kingston, Pennsylvania, United States Healthcare Support Full time

    Radiology Technologist Job DescriptionHealthcare Support is seeking a skilled Radiology Technologist to join their team for a travel assignment in Pennsylvania.Job Type: TravelSpecialty: Radiology TechnologistDuration: 13 weeksHours: 40 hours per weekAs a Radiology Technologist with Healthcare Support, you will have the opportunity to work with a reputable...


  • Kingston, Pennsylvania, United States Healthcare Support Full time

    Radiology Technologist Job OpportunityHealthcare Support is seeking a Radiology Technologist to join their team for a travel assignment in Pennsylvania.Job Type: TravelSpecialty: Radiology TechnologistDuration: 13 weeksHours: 40 hours per weekRadiologic Technologists play a crucial role in healthcare, and Healthcare Support is committed to providing...


  • Kingston, Pennsylvania, United States Healthcare Support Full time

    Radiology Technician Job OpportunityHealthcare Support is seeking a skilled Radiology Technician for a travel position in a medical facility.Job Requirements:Specialty: Radiology TechnicianDiscipline: Allied Health ProfessionalCompensation: Competitive pay package with tax-free stipendBenefits: Immediate enrollment in health insurance, dental insurance, life...


  • Kingston, Pennsylvania, United States Healthcare Support Full time

    Healthcare Support is seeking a travel Interventional Radiology Technologist for a contract in Pennsylvania.Job DescriptionSpecialty: Interventional Radiology TechnologistDiscipline: Allied Health ProfessionalDuration: 13 weeks40 hours per weekShift: 8 hoursEmployment Type: TravelBenefits of this Interventional Radiology Technologist role with Healthcare...


  • Kingston, Pennsylvania, United States Covenant Physician Partners Full time

    Covenant Physician Partners is seeking a skilled Gastroenterologist to join our esteemed practice in Wilkes-Barre, Pennsylvania. Our state-of-the-art outpatient and inpatient settings, combined with our adjacent ASC and strong relationship with Wilkes-Barre General Hospital, enable us to provide exceptional patient care. **Opportunity Highlights** •...


  • Kingston, Pennsylvania, United States Healthcare Support Full time

    Cath Lab Technologist Job DescriptionHealthcare Support is seeking a skilled Cath Lab Technologist to join their team for a 13-week contract in Kingston, Pennsylvania.Job Requirements:Specialty: Catheterization Lab TechnologistDiscipline: Allied Health ProfessionalStart Date: ASAPDuration: 13 weeksHours: 40 hours per weekShift: 8 hoursEmployment Type:...


  • Kingston, Pennsylvania, United States HealthCare Support Full time

    Cath Lab Technologist Job OpportunityHealthCare Support is seeking a skilled Cath Lab Technologist to join their team for a 13-week contract in Pennsylvania.Job Requirements:Appropriate licensure within the stateBLS Certification from the American Heart Association (AHA)1+ year of applicable experienceBenefits of Working with HealthCare Support:Immediate...


  • Kingston, Pennsylvania, United States Healthcare Support Full time

    Cath Lab Technologist Job DescriptionHealthcare Support is seeking a skilled Cath Lab Technologist to join our team for a 13-week contract in Kingston, Pennsylvania.Job RequirementsSpecialty: Cath Lab TechnologistDiscipline: Allied Health ProfessionalStart Date: ASAPDuration: 13 weeksHours: 40 hours per weekShift: 8 hoursEmployment Type: TravelCath Lab...


  • Kingston, Pennsylvania, United States Anders Group Full time

    Job Title: Registered Nurse - Med SurgAnders Group is seeking a skilled Registered Nurse to join our team for a travel nursing assignment in Med Surg. As a travel nurse, you will have the opportunity to work in a dynamic and challenging environment, providing high-quality patient care and developing your clinical skills.Job Details:Specialty: Med...

  • Education Specialist

    2 weeks ago


    Kingston, Pennsylvania, United States ProCare Therapy Full time

    Job OpportunityWe are seeking a dedicated and experienced Substitute Teacher to join our team in Kingston, PA.Job RequirementsMinimum 1+ years teaching experience requiredSub certification or Special Education certification requiredCaseload: K-2ndBenefitsWeekly direct deposits with W2 classificationComprehensive insurance including medical, dental, vision,...