Medical Billing Specialist Medicaid/Substance/Mental Health

Position: Medical Billing Specialist-Medicaid/Substance Abuse

Company: Aspire Medical Billing

Location: Port St Lucie, FL (On-Site)

About Us: Aspire Medical Billing is a third-party billing service provider specializing in the behavioral health industry. We aim to expand our team with enthusiastic and skilled professionals who are eager to learn, grow, and succeed with us. Our vision is to provide top-notch billing services, ensuring compliance and maximizing reimbursement.

Job Summary: 

The Medicaid Substance Abuse Medical Biller will be responsible for processing and managing billing and collections for Medicaid patients receiving substance abuse treatment services. This role requires a strong understanding of Medicaid billing regulations, substance abuse treatment coding, and a commitment to maintaining the financial health of the organization.

Job Responsibilities:

·        Review and verify patient information for accuracy and completeness.

·        Prepare and submit Medicaid claims for substance abuse treatment services in a timely and accurate manner.

·        Ensure compliance with Medicaid billing guidelines, including correct use of diagnosis and procedure codes (ICD-10, CPT, etc.).

·        Monitor claims status and follow up on unpaid or denied claims.

·        Work with clinical staff to obtain necessary documentation for claim submission.

·        Communicate with Medicaid representatives and other insurance carriers to resolve billing issues.

·        Maintain accurate records of billing and payment activities.

·        Assist in the preparation of reports on billing activities, collections, and outstanding accounts.

·        Stay updated on changes in Medicaid regulations and billing requirements for substance abuse services.

 Job Qualifications: 

·        High school diploma or equivalent required; associate's degree or certification in medical billing and coding preferred.

·        Minimum of [2] years of experience in medical billing, preferably with a focus on Medicaid and/or substance abuse treatment services.

·        Proficiency in using medical billing software and electronic health records (EHR) systems.

·        Strong knowledge of Medicaid billing procedures, coding (ICD-10, CPT), and medical terminology.

·        Excellent attention to detail and organizational skills.

·        Ability to communicate effectively with healthcare professionals, patients, and insurance representatives.

·        Strong problem-solving skills and the ability to handle complex billing issues.

·        Knowledge of HIPAA regulations and the importance of maintaining patient confidentiality.

Physical Qualifications:

• Prolonged sitting required
• Some bending, stooping, and stretching
• Hand-eye coordination and manual dexterity to operate office equipment (keyboard, photocopier, telephone, etc.)
• Normal range of eyesight and hearing required
• Aptitude for recording, preparing, and communicating appropriate information and reports

 Benefits:

·        Competitive salary

·        Health, dental, and vision insurance

·        Paid time off and holidays

·        401(k) plan

·        Opportunities for professional development and advancement