Billing Specialist

4 weeks ago


Buffalo, United States Search Solution Group Full time

Billing Specialist:

Our client is currently seeking a dedicated and detail-oriented Billing Specialist to join our dynamic billing team. This role is essential in ensuring the accuracy and efficiency of our company's billing processes. As a Billing Specialist, you will have the opportunity to work in a fast-paced environment, take charge of our billing operations, and make a direct impact on our financial success. If you have a passion for numbers and a commitment to precision, we encourage you to apply and help us maintain our standard of excellence in billing services.

Job Responsibilities

· Ensure accurate and timely submission of electronic and paper claims in accordance with federal, state, and payer-specific billing requirements.

· Review billing reports and resolve any discrepancies or errors in billing data.

· Follow up on unpaid claims within standard billing cycle timeframe, including contacting payers and investigating denied claims to resubmit for reimbursement.

· Maintain up-to-date knowledge of coding procedures and guidelines, including ICD-10, CPT, and HCPCS codes relevant to behavioral health services.

· Verify client eligibility, benefits, and authorization for services with insurance providers prior to claim submission.

· Maintain strict confidentiality in accordance with HIPAA regulations and client privacy protocols.

· Ensure compliance with company policies and procedures.

· Assist clients with billing and insurance related questions, providing clear and professional communication.

· Participate in training and development opportunities to stay current with the latest billing practices and regulations.

Job Requirements

· Minimum of 2 years' experience in medical billing

· Proficient in billing software, specifically electronic health records (EHR) systems

· Knowledge of Current Procedural Terminology (CPT), International Classification of Diseases (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) codes

· Understanding of state and federal regulations surrounding mental health and substance abuse billing, including Medicaid and Medicare guidelines

· Ability to process claims and manage accounts receivable

· Strong organizational skills and attention to detail

· Proficiency in Microsoft Office Suite, especially Excel

· Strong communication skills, both written and verbal, for effective interaction with clients, insurance companies, and other healthcare professionals

· Ability to work independently and as part of a team

· Capacity to handle sensitive information confidentially



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