Billing Specialist- Bilingual Preferred

Remote Full-time
About the position

Responsibilities
• Answer phone calls and greet clients/professionals in a courteous manner.
• Contact new and current clients to verify insurance coverage information.
• Respond professionally to emails from clinical staff and insurance representatives.
• Daily computer entry of new client or insurance information into the database.
• Assist Front Desk Admins in client insurance verification and billing order.
• Ensure accuracy of insurance files and notes, including copay amounts and prior authorization details.
• Assist clients with applications under the CCBHC Sliding Fee Scale Discount program.
• Daily error checking of all claims before submission.
• Verify that primary, secondary, and tertiary payers are accurate.
• Notify the CQI Department of non-insurance related errors.
• Follow up on corrections in a timely manner.
• Daily claim submission to government and private insurance carriers.
• Respond to clearinghouse notices regarding claim submissions and rejected claims.
• Weekly entry of insurance carrier remittance and other client payments.
• Research and resolve client billing problems or issues.
• Generate weekly aging reports and follow up on unpaid claims.
• Prepare spreadsheets for insurance carrier representatives when claim issues arise.
• Complete monthly billing and revenue reports to various outside entities.
• Assist Finance Manager with monthly, quarterly, and fiscal year-end reconciliation of accounts receivable.

Requirements
• High school diploma or GED required.
• Minimum of 2 years' experience with medical billing and coding, preferably in a Behavioral Health environment.
• Strong knowledge of Medicare, Medicaid, and Private Insurance practices.

Nice-to-haves
• Working knowledge of HCPCS, CPT, and ICD-10 coding systems; coding or billing certification preferred.
• Bilingual (Spanish) preferred.

Benefits
• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

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