Billing Clerk Specialist

3 weeks ago


Newton, Massachusetts, United States Mirror Full time
Job Summary:

The Billing Clerk will work collaboratively with the Mirror Accounting team to ensure proper billing of services provided by our staff, follow up with staff of missing information, and help to develop a working system to credential the company for commercial billing.

Duties and Responsibilities:

• Complies and maintains current and accurate data for all clinical employees and the agency, including individual clinicians and Mirror residential facilities and outpatient units.

• Complete provider insurance applications, monitor and follow up as necessary to ensure provider ID number is received timely.

• Utilizes and maintains electronic contract files, and uses the accounting software to input all accounts receivable charges, payments, and adjustments.

• Prepare and send out statements to clients, and responsible for accounts receivable aging, follow-up on all past due accounts.

• Identify, track, and make corrections as necessary in tandem with the accounting office, and provide feedback of reoccurring issues to the Controller of low-quality results for follow up.

• Responsible for daily assignment of manual and/or electronic payment and denial posting, while making accurate and appropriate contractual adjustments to governmental, managed care, and commercial claims.

• Upholds Mirror vision, mission, and core values, and follows company-wide and department policies, including but not limited to general procedures, assigned duties, and client confidentiality.

• Develop and maintain a cooperative, professional relationship with insurance networks and the Mirror organization, and effectively present information and respond to questions from co-workers, clients, clients' families, outside agencies, the general public, and clinicians.

• Process denied claims through working with insurance companies and facilities, and maintains confidentiality, adhering to all Federal Confidentiality and HIPAA guidelines/regulations.

• Enter in payments on accounts from remits in a timely manner, and other duties as assigned by the CFO.

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