What are the responsibilities and job description for the Medical Billing and Collection Specialist position at Belmont Behavioral Health System?
Overview:
PURPOSE STATEMENT:
Responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections.
Responsibilities:
Essential Functions
- Position is eligible for Hybrid / Remote model after 90 days. 3 days remote / 2 days in office
- Prepares and monitors monthly billing and collection processes utilizing established policies, procedures, and tracking systems
- Verifies Medicare, Medicaid and Commercial benefits and prior authorizations
- Identifies deductible, co-insurance and co-pay due per EOBs received
- Compiles appropriate information for refunds, bad debt write-offs, and adjustments
- Types, assembles, copies, files and processes data required in an accurate and timely manner.
- Making telephone calls, writing letters, and/or sending faxes to patients, insurance carriers, and other responsible parties in the pursuit of getting a claim resolved.
- Handling and interpreting medical documentation such as UB04 claim form, 1500 claim forms and EOB’s.
- Analyzing and interpreting documents, contracts, notes, and other correspondence
- Writing appeals to insurance carriers to overcome denials.
- Manage an extensive portfolio of claims by prioritizing and organizing time effectively
- Comply with privacy laws and patient’s needs.
- Overcome obstacles by using effective information gathering and problem solving methods.
- Participates in monthly AR reviews with Management Team.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- High school diploma or equivalent required.
- Three or more years' experience in related field required.
- Extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid required.
BEL01
