• Insurance Billing Specialist

    Job Locations US-CO-Wheat Ridge
    Posted Date 2 weeks ago(2 weeks ago)
    Job ID
    2018-1824
    # of Openings
    1
    Category
    Accounting/Billing
    Subsidiary
    Jefferson Center
    Type
    Full-Time
  • Overview

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    This position works under the supervision of the Controller.  Responsibilities include following insurance claims through the full billing cycle from submission to appeals as well as client statements and follow-up for a set group of payers.  This position requires clear understanding of the rules of confidentiality, the ability to exercise sound judgment, and knowledge of the behavioral health vocabulary.

    Responsibilities

    • Submit billing to various insurance companies and post payments within timely limits.
    • Resolve clearinghouse claim edits within timely limits.
    • Follow-up on denials and submit appeals to insurance companies for payment within timely limits.
    • Acquire benefit coverage in regards to behavioral health and obtain authorizations.
    • Communicates patient benefits to staff and consumers appropriately.
    • Work various reports; collections, aging, reconciliations, service pended, and closed client reports.
    • Correct set up of patient billing, follow-up and resolve of billing issues.
    • Work with billing department staff in a team-oriented approach.
    • Interact with internal and external agencies in a professional and customer friendly manner.
    • Able to prioritize and work independently.
    • Back up in the department for other positions.

    Qualifications

    • Requires knowledge of medical billing and collection practices/procedures for commercial insurance companies, Medicare and Medicaid.
    • Experience with the overall billing process: claims- electronic and paper, authorizations, payment posting, CPT coding, benefit verifications, EOB’s and ERA’s.
    • Excellent computer and customer service skills are required.  Excel experience is required.
    • Experience with aging reports and general ledger reconciliations. 
    • Basic Accounting skills.
    • Able to contribute and be part of a team

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