Prestige Utilization Management & Billing Solutions, LLC Billing Specialist - Behavioral Health Remote · Full time
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The Billing Specialist is a TEAM PLAYER and is responsible for effective communication and coordination with teammates, insurance companies and clients to obtain the maximum benefits for our clients. The Billing Specialist establishes relationships with insurance carriers and obtain accurate, detailed insurance benefit information by phone and via the internet. Good verbal and written communication are required. Record keeping must be accurate and thorough. Flexibility with schedule so you can meet critical deadlines as established.

Description

Responsibilities


  • Review the census tracker and KIPU or other EMR to confirm the accuracy of charges to be billed.
  • Create and submit claims to appropriate payors.
  • Review data on insurance policies to ensure accurate claim processing and payment.
  • Accurately utilize the billing system.
  • Ensure corrected claims are submitted promptly.
  • Prepare materials for submission to insurance companies as requested.
  • Contact clients to collect outstanding account balances.
  • Maintain confidentiality of patient care and business.
  • Demonstrate strong, professional communication and interpersonal skills with clients, the public, managers, and co-workers.
  • Maintain accurate and thorough records.
  • Demonstrate the ability to act as a team player professionally and positively.
  • Perform other duties as assigned by the supervisor


This is a full-time remote position.


Qualifications

  • 1-year minimum healthcare experience with behavioral health billing required.
  • Basic understanding of insurance terminology (out-of-network benefits vs. in-network benefits, coinsurance, co-pays, and deductibles) and general billing practices.
  • Coding/Billing Certificate from an accredited institute or school is preferred.
  • Experience with behavioral health treatment is required.
  • 1-year minimum experience behavioral health billing for Medi-Cal REQUIRED.
  • Collab MD experience REQUIRED.
  • AVEA experience REQUIRED
  • Knowledge of SUD, IOP, and Mental Health programs.
  • Knowledge and experience with EMR and billing software programs is required.



Salary

$40,000 - $50,000 per year

Apply for Billing Specialist - Behavioral Health