What are the responsibilities and job description for the 3rd Party Billing Clerk - New Bedford position at All Care Homecare, LLC?
3rd Party Billing Clerk - New Bedford, MA
Full-time position
Monday - Friday 8:30 a.m. to 5 p.m.
Salary Based on Experience
All Care Wellness is a privately owned mental health provider offering compassionate patient centered care with both in home and outpatient settings. Our goal of treatment is to promote physical, mental, emotional, and spiritual well-being by teaching the patient how to work with him or herself naturally with or without the use of psychiatric medication. We also manage a variety of mental health issues with an integrative approach or practicing psychiatry by blending traditional medicine with holistic therapies.
Some of the areas we can assist with include anxiety, substance abuse, panic disorders, obsessive compulsive disorders, post-traumatic stress disorder, ADHD, life skills, career, and relationship issues. Our practice also offers individual psychotherapy, medication management, home visits, and group therapy in addition to the Group Adult Foster Care Program services.
We are responsible for ensuring that service is delivered in a caring and respectful manner, in accordance with relevant Agency policies and industry standards.
All Care Wellness offers great benefits and perks including:
- Health Insurance
- Dental Insurance
- Vision
- Short-term disability
- Life Insurance
- Paid time off
- Sick pay
- Holiday pay
- Referral bonuses
- Flexible schedules
Responsibilities
- Process medical bills by sending them to patients and insurance providers as necessary
- Verify insurance benefits and eligibility
- Accurate logging of payments received from providers and patients while maintaining current records and balances
- Call patients to set up payment arrangements
- Claim appeals and denial resolution
- Extensive claim denial follow up
- Prior authorization and eligibility
- Accounts receivable
- Ensure accurate entry of work into designated billing systems.
- Obtain all necessary information required for billing.
- Identify accounts that require follow-up.
- Review and mail or electronically submit all claims.
- Post self-pay payments
- Enter & update patient insurance demographics information
- Cross train with the Medical Receptionist
Requirements
- Experience in billing, accounts receivables, payment posting rejections or denials required; centralized billing office experience highly preferred
- Claim denial follow up and appeals experience
- Experience in Medical Billing or claims processing is preferred
- Accounts Receivable, Revenue Cycle, Payment Posting experience highly preferred
- Must have strong knowledge of insurance, eligibility and prior authorizations
- Possess strong organizational and follow up skills
- Knowledge of Excel
- Ability to work under deadlines
- Ability and willingness to work as part of a team.
- Strong oral and written communication and interpersonal skills
- Ability to prioritize and multitask a large work volume with a high level of efficiency and attention to detail
- Dependable and able to work independently
- A valid Driver's license and reliable transportation
- Good physical and mental health
- Physical ability to stand, walk, use hands and fingers, reach, stoop, kneel, crouch, talk, hear and see.
- Strong sense of professionalism
Our employees take pride in making every day count by adding value to the lives of people we support. That is why we are committed to training, developing, and supporting our staff. We have a family-oriented environment with flexible schedules to accommodate our employees.
