This listing was posted on ApplicantPro, TalentPlusHire.
Insurance Billing Specialist and Administrative Support
Location:
Colorado Springs, CO
Description:
POSITION: Insurance Billing Specialist and Administrative SupportREPORTS TO (title): Practice ManagerEFFECTIVE DATE:JOB SUMMARY:• Responsible for RCM (Revenue Cycle Management) with psychiatric mental health outpatient clinicmanaging billing process in house• Responsible for maintaining insurance contracts and credentialling• Accurately manages insurance claims, as well as payment collection with insurance carriers,intermediaries, and patients.• Provides support for clinical and administrative staff with patient flow to ensure a positive patientexperience.• Assist with administrative duties, as assignedSUPERVISORY RESPONSIBILITIES:NoneDUTIES/RESPONSIBILTIES:Mental Health Coding and Billingi. Revenue Cycle Management (RCM) for Psychiatric mental health E/M, add on therapyservices, behavioral health coding, and insurance reimbursement, denial management andother aspects of RCM preferred. 1. Electronic billing claims via EHR (Charm EHR and Optum EDI experience a plus) - Responsible for clean, accurate, and timely claims. - Claim Management: Manage Outstanding Claims with denials and rejections torecover claims.2. Accounts Receivable Managementii. Experience with various insurance plans to include 1. Governmental plans: Medicare, Medicaid, Tricare 2. Marketplace plans 3. Private/Commercial Insurance plans 4. Self-pay or other insurance payment options2. Staff and Patient Interaction: a. Work directly and indirectly with patients, staff, and students for optimal patient experience withthe flow for the patient visit. i. Support Admin and Provider staff with coverage of front desk and back desk, as needed. ii. Support growth and development of clinic.3. Knowledge of: a. Various Insurance plans (Governmental, Commercial, Exchange, and others) related to i. Determination of benefits ii. Eligibility iii. COB iv. Timeliness Rules and Guidelines v. Denials vi. Prior Authorization for Services and Prescriptions b. Credentialing Process for all insurance types i. CAQH ii. PECCOS (NPI 1 and 2) iii. Insurance Onboarding and Off-Boarding iv. Periodic Revalidation with insurance carriers c. E/M coding psychiatric mental health, therapy add on codes, modifiers, and tele-visits. i. Familiarity with eClaims using Form 1500 Format ii. Accurately verifies claim information before submission 1. Appropriate CPT codes with charges, appropriate modifiers, supporting ICD-10coding with proper positioning, POS, 2. Primary, secondary and other insurance carriers 3. Correct demographics and other details d. Payment application and Reconciliation: i. EFT, Checks, or Patient payments applied to outstanding invoices in EHR. ii. ERA and EOB reconciliation iii. Claim management with denials, rejections, and reconciliation. iv. Accounts Receivable management v. Answers billing inquiries from patients, staff, providers, and insurance companies e. Periodic Reporting: i. Reconciliation at End of Day ii. Month End reportingPerforms other related duties as assigned.REQUIRED SKILLS/ABILITIES:: f. Motivated, eager to learn, and grow within a position. g. Positive, Effective, and clear communication skills (written and verbal) h. Ability to self-organize, prioritize, and manage time i. Ability to maintain strict confidentiality (HIPAA) with strong boundaries for patients. j. Knowledge of basic medical terminology, common acronyms, and insurance jargon. k. Proficient with the use of computers and web-based technology l. Proficient with bookkeeping and reconciliation m. Knowledge of generally accepted accounting principles (GAAP) preferred n. Possess analytical reasoning and abilities to figure out complex insurance or accounting situations.4. Experience with: a. Communication Skills/Experience/Customer Service (at least 2 years required)EDUCATION AND EXPERIENCE:High School Graduate or GED, and college or vocational training preferred, but not required.Communication Skills/Experience/Customer Service (at least 2 years required)Mental Health Coding and Billing Experience (at least 1 year preferred)
Company:
Mastermind Clinic, Pllc
Industry:
Insurance
Posted:
April 15 on ApplicantPro, TalentPlusHire
Visit Our Partner Website
This listing was posted on another website. Click here to open: Go to ApplicantPro, TalentPlusHire
Important Safety Tips
- Always meet the employer in person.
- Avoid sharing sensitive personal and financial information.
- Avoid employment offers that require a deposit or investment.
To learn more, visit the Safety Center or click here to report this listing.
More About this Listing: Insurance Billing Specialist and Administrative Support
Insurance Billing Specialist and Administrative Support is a Clerical Administrative Specialist, Billing Specialist Job at Mastermind Clinic, Pllc located in Colorado Springs CO. Find other listings like Insurance Billing Specialist and Administrative Support by searching Oodle for Clerical Administrative Specialist, Billing Specialist Jobs.
Insurance Billing Specialist and Administrative Support is a Clerical Administrative Specialist, Billing Specialist Job at Mastermind Clinic, Pllc located in Colorado Springs CO. Find other listings like Insurance Billing Specialist and Administrative Support by searching Oodle for Clerical Administrative Specialist, Billing Specialist Jobs.