Medical Biller

We are seeking a highly skilled Medical Biller to join our team at the Mental Health Association of Greater Springfield. As a Medical Biller, you will play a critical role in ensuring the timely submission of claims to insurance companies for our Outpatient Behavioral Health Clinic services.

• Prepare and submit accurate and complete billing claims and invoices
• Follow up on insurance denials and rejections in a timely manner
• Accurately resolve and resubmit denied claims and secondary insurance claims
• Investigate unpaid claims and submit appeals as needed
• Review patient statements before mailing
• Follow up on unpaid patient balances by establishing payment arrangements, and monitoring and pursuing delinquent accounts

• At least 2 years of medical/behavioral health billing experience is preferable
• Experience working Insurance claim denials
• Experience with AR Management
• Ability to research Insurance Websites for the documented regulations on current original claims submissions, correct denial resolutions as well as how to correct claims properly
• Ability to communicate to the Billing Team and Supervisor problems and/or issues that need additional interventions
• The candidate must have a strong financial background with knowledge of ICD-10 and CPT coding
• Strong attention to detail and accuracy
• Ability to interact openly and professionally with clients, billing team, and Supervisor

• Proficiency with electronic medical records (EMR)
• Ability to effectively work claims and claim denials to ensure maximum reimbursement for services rendered
• Ability to read and interpret insurance Explanation of Benefits
• Ability to utilize monthly aging account receivables report to follow up on unpaid claims aged over 30 days
• Respond to inquiries from payors, and patients in a timely fashion

This is an in-person role. We offer a competitive benefits package, including Health Care Plan (Medical, Dental & Vision), Retirement Plan (403B, IRA), Life Insurance (Basic, Voluntary & AD&D), Paid Time Off (Vacation, Sick & Public Holidays), Family Leave (Maternity, Paternity), and Long Term Disability.