Medical Billing Specialist-Substance Abuse/Medicaid

Job Description: Medical Billing Specialist - Medicaid/Substance Abuse

Company: Aspire Medical Billing

Location: Port St. Lucie, FL (On-Site)

About Us:

At Aspire Medical Billing, we are dedicated to revolutionizing the behavioral health billing landscape. As a premier third-party billing service provider, our mission is to deliver exceptional billing solutions that prioritize compliance and maximize reimbursements for our clients. We are looking to expand our dynamic team with passionate professionals who are driven to learn, grow, and thrive in a collaborative environment.

Role Overview:

We are seeking a Medicaid Substance Abuse Medical Biller who will play a pivotal role in processing and managing billing and collections for Medicaid patients receiving substance abuse treatment. This position demands a robust understanding of Medicaid billing regulations, coding specific to substance abuse treatment, and a proactive approach to ensuring the financial integrity of our organization.

Key Responsibilities:

• Accuracy First: Review and verify patient information to ensure accuracy and completeness, setting the foundation for successful billing
• Timely Submission: Prepare and submit Medicaid claims for substance abuse treatment services with precision and within deadlines
• Compliance Champion: Ensure strict adherence to Medicaid billing guidelines, utilizing the correct diagnosis and procedure codes (ICD-10, CPT, etc.) to facilitate seamless reimbursements
• Claims Management: Monitor claims status diligently and proactively follow up on unpaid or denied claims to maximize revenue flow
• Collaborative Documentation: Work closely with clinical staff to gather essential documentation needed for successful claim submissions
• Effective Communication: Engage with Medicaid representatives and other insurance carriers to resolve billing discrepancies and expedite issue resolution
• Record-Keeping Excellence: Maintain meticulous records of billing and payment activities to ensure transparency and accountability
• Data Insights: Assist in preparing insightful reports on billing activities, collections, and outstanding accounts to inform strategic decisions
• Regulatory Vigilance: Stay abreast of evolving Medicaid regulations and billing requirements specific to substance abuse services
  
  

Qualifications:

• High school diploma or equivalent required; associate's degree or certification in medical billing and coding is highly desirable
• Minimum of [X] years of experience in medical billing, ideally focused on Medicaid and/or substance abuse treatment services
• Proficient in medical billing software and electronic health records (EHR) systems, with a tech-savvy approach to problem-solving
• In-depth knowledge of Medicaid billing procedures, coding (ICD-10, CPT), and medical terminology
• Exceptional attention to detail and outstanding organizational skills that drive efficiency
• Strong interpersonal and communication skills for effective collaboration with healthcare professionals, patients, and insurance representatives
• Proven problem-solving abilities and a knack for tackling complex billing challenges
• Familiarity with HIPAA regulations and a steadfast commitment to patient confidentiality
  
  

Benefits:

• Competitive salary package
• Comprehensive health, dental, and vision insurance
• Generous paid time off and holiday schedule
• 401(k) plan with company match
• Opportunities for professional development and career advancement
  
  

Join us at Aspire Medical Billing and become part of a forward-thinking team committed to excellence in the behavioral health sector!

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