Medical Billing Specialist II: Health Insurance Claims Processor

6 days ago

Frederick, Maryland, United States Advanced Behavioral Health, Inc. Full time

Company Overview: Advanced Behavioral Health, Inc. is a family-centered mental health program that offers a wraparound approach to treatment in Frederick, MD. Our mission and vision align with our commitment to providing quality care.

Salary: The estimated annual salary for this position is $43,620 - $55,260, based on the location and experience requirements.

Job Description:

  • We are seeking a Medical Billing Specialist to ensure all patient encounters have been properly billed and reconciled through the clearinghouse process and ultimately paid by the insurer.
  • The position works under the supervision of the Billing Supervisor and produces weekly aging and reconciliation reports showing status of all account encounters.
  • As a Medical Billing Specialist, you will resolve open and incomplete encounters so they can be billed, resolve all claim denials and unpaid claims, and resubmit when necessary.
  • You will also prepare weekly aging reports and submit to Billing Supervisor and Comptroller for review, collaborate with providers and insurers to resolve issues pertaining to denied claims, and maintain a tracking system of incoming and late payments.
  • In addition, you will request relevant information from appropriate clinical staff as required, provide customer service to employees, management, and outside vendors/agencies, and adhere to professional standards, practice policies, and procedures, federal, state, and local requirements, and CARF standards.
  • Assist with other duties as needed within the Billing Department, and be flexible with work hours, Monday through Friday, 9:00 AM to 5:00 PM, with some flexibility allowed.

Required Skills and Qualifications:

  • Strong organizational skills and ability to manage multiple priorities with minimal supervision
  • Demonstrate working knowledge of MS Office (word, Excel, Outlook, PowerPoint)
  • Ability to communicate effectively, both orally and in writing
  • Ability to establish and maintain effective working relationships with the staff in all departments
  • Excellent analytical and problem-solving skills
  • Demonstrate expertise in continuous quality improvement, customer service, and team building
  • Maintain the strictest of confidentiality
  • Knowledge of healthcare insurance claims and referral processing

Benefits:

  • Medical, Dental, Vision
  • 401(k) Retirement Plan with Employer Match
  • Dependent Care Flexible Spending Accounts (FSAs)
  • Voluntary Term Life Insurance
  • Employer Paid: Basic Life Insurance, Short-Term Disability, Long-Term Disability
  • Voluntary Insurance Policies: Accident, Cancer, Critical Illness, Hospital Confinement
  • Employee Assistance Program (EAP)
  • Paid Holidays, 3 Weeks PTO/Year, Floating Holidays, Paid Birthday, Wellness Day

Others: ABH is committed to diversity and equal opportunity employment. We do not discriminate based on race, creed, color, ethnicity, national origin, religion, sex, sexual orientation, gender identity and expression, age, height, weight, physical or mental ability, veteran status, military obligations, or marital status.

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