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Medical Billing Specialist
2 months ago
We are seeking a highly skilled Medical Billing Specialist to join our team at Alaska Behavioral Health. As a Medical Billing Specialist, you will play a critical role in ensuring the smooth operation of our healthcare services by accurately processing and submitting client billing charges.
Key Responsibilities- Claims Processing: Responsible for submitting client billing charges (electronic and paper) and batching submissions for all payer types.
- Remittance Advice Processing: Processes weekly Medicaid remittance advices (RAs). Processes Medicare and commercial insurance EOB's. Posts payments to client accounts. Transfers balances to other payer sources as appropriate. Applies contractual adjustments as appropriate.
- Prior Authorization Management: Verifies initial prior authorization (PA) information submitted by providers. Scans processed PAs into the department's internal system. Enters PAs into the agency's billing software program. Responsible for updating exhausted PAs and obtaining additional PA units from the state's fiscal agent.
- Denial and Appeal Management: Researches all denials and initiates claims resubmissions. Initiates appeals when appropriate. Identifies refunds when applicable.
- Account Management: Reviews monthly client statements with outstanding patient balances for accuracy. Researches outstanding balances. Identifies needs for fee sets and/or additional payer source(s).
- Aged Receivables Management: Responsible for working past due accounts and reducing the aged receivables for all payer types. Responsible for auditing accounts for payments and adjustments and corrects when necessary.
- Three or more years of Medical billing experience required, with at least 2 years of experience working in a high volume billing department preferred.
- At least 2 years of experience working in a computerized billing department required.
- Billing/coding certification preferred.
- Ability to communicate effectively, both verbally and in writing, and understand the English language.
- Full-Time, Hourly position with a competitive pay range of $19.23 to $24.89 hourly depending on experience.
- Eligible for an annual incentive opportunity of up to $6,000.
- Student Loan Repayment and Tuition Assistance available.
- Generous benefits package including two healthcare options for employees and their dependent children, 401k with immediate vesting and up to 5% match, 3% automatically contributed by AKBH, and 5 weeks of PTO for the first year, and 8 weeks of PTO after the first year.
