Seven Hills Foundation

Billing Specialist

Affiliate
YOU, Inc
Type
Regular Full-Time
Job ID
24265
Schedule
Monday - Friday 8am - 4pm or 9am - 5pm

Overview

YOU, Inc is looking for a dedicated Billing Specialist to join our team!

 

The Billing Speicalist is responsible for 3rd party follow-up, for all CBHI/CSA services. The Billing Speicalist will contact 3rd party insurances claims departments to establish status of claims via phone or internet. They will create and re-submit paper/electronic claims as needed; including making the needed adjustments to claims on line, writing appeals and submitting corrected claims. They will run and work scrubber reports, resolving any failed claims. The Billing Speicalist will support the payment posting process in Care Logic, including processing electronic 835 payment files, entering and posting payments manually as needed.

 

*$3,000 New Hire Sign-On Bonus! (50% paid at 6 months and 50% paid at 12 months)

Responsibilities

  • Review contracts and identifies billing or coding issues submits re-bills, secondary billing, corrected claims, and appeals as needed, including making adjustment on line.
  • Conduct collection activity on previously appealed claims by contacting government agencies, third party payers via phone, email, or online. Once all collection efforts have been exhausted recommend “write off” of charges.
  • Work scrubber reports by adding or correcting patient/insurance demographic information (Failed claims, insurance verification, duplicate claims, daily insurance change, and scrubber reports) note accounts; identify payor trends; and solve recoupment issues.
  • Identify incorrect payments (over or under) and make the needed adjustments/corrections to resolve the payment conflict.
  • Attend insurance based meetings and or webinars. Ensures compliance with State and Federal Laws and Regulations for Third Party Payors and other Managed Care Payors.
  • Support the accounts receivable clerk with posting/balancing payments on an as needed base.
  • Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and must be able to communicate results.
  • The position requires analysis, organization, and consistent follow-up and the ability to multi task.

Qualifications

  • 2-3 years’ experience in billing/collections experience required
  • Insurance billing required
  • Strong Data Entry Skills
  • Microsoft Office (Word/Excel- experience)
  • Strong Customer Service Skills
  • High School Diploma

 Covid vaccination is required.

 

PHYSICAL DEMANDS

Must be in relatively good health and be able to perform the duties listed above. Position does require someone who will be working at a desk with a computer and telephone most of the day.

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