Mental Health Billing Specialist
2 weeks ago
Real Hope Real Help Psychology and ABA Center is seeking a detail-oriented and experienced Mental Health Biller/AR Specialist to join our team. In this role, you will play a crucial part in ensuring accurate and timely billing for our mental health and ABA services.
As a Mental Health Billing Specialist, you will work closely with the Chief Biller to manage all aspects of the billing process, from claim submission to follow-up and collections. Your expertise in mental health billing procedures, including coordination of benefits, modifiers, and various insurance carriers (Medicare, Commercial, TRICARE), will be essential to our success.
Responsibilities:- Submit accurate claims for services using appropriate CPT codes.
- Follow up on assigned insurance claims to ensure timely reimbursement.
- Process assigned accounts receivable (AR) work lists efficiently.
- Review patient accounts to determine necessary follow-up actions, including adjustments and letters.
- Collaborate with the Chief Biller to recommend accounts for write-off based on Adjustment Requests.
- Stay informed about address and filing rule changes, reporting any updates to management.
- Identify missing payments and take appropriate actions to resolve them.
- Maintain accurate patient account records through thorough documentation.
- Respond promptly to insurance company claim inquiries.
- Meet daily production goals as assigned by management.
- Minimum of one year of experience in mental health billing is required.
- Comprehensive understanding of mental health Commercial Insurance, TRICARE, and Medicare Compliance.
- Proficiency in using mental health Electronic Health Records (EHR) systems and clearinghouses.
- Excellent written and verbal communication skills.
- Ability to prioritize tasks, meet deadlines, and work independently.
- Billing and Coding certification is required. AAPC certification is preferred.
- High School Diploma or equivalent is required; a College Degree is preferred.
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