Billing Specialist

Billing Specialist: Full-Time

Job Summary

As a Billing Specialist at Choices Psychotherapy, you will play a crucial role in ensuring the smooth and efficient financial operations of our outpatient clinics. Your primary responsibility will be to bill insurance claims in a timely and accurate way, allocate insurance and patient payments, and manage patient accounts. This position requires a strong understanding of medical billing and coding, excellent attention to detail, and the ability to provide exceptional customer service to patients. This position interacts on a regular basis with our psychiatrists, therapists, administrative staff, insurance companies and requires effective verbal and written communication skills.

Primary Responsibilities:

·      Prepare and submit insurance claims accurately and in a timely manner

·      Review and verify the accuracy of patient billing data, including diagnoses, procedure codes, and required modifiers

·      Monitor and follow up on unpaid claims, denials, and appeals

·      Manage patient accounts, including posting charges, payments, refunds and adjustments

·      Provide clear and concise explanations of billing inquiries to patients and providers

·      Assist patients with understanding their insurance benefits and financial responsibilities

·      Verify patient insurance coverage and eligibility prior to appointments

·      Coordinate with insurance providers to resolve coverage issues and discrepancies

·      Coding Compliance:

·      Ensure that all billing and coding practices comply with current healthcare regulations and guidelines

·      Stay up-to-date on changes in coding and billing regulations

·      Identify opportunities to improve revenue cycle processes and reduce billing errors

·      Record Keeping and Documentation:

·      Maintain accurate and organized records of patient accounts, billing transactions, and correspondence

·      Prepare and maintain reports related to billing and accounts receivable

Administrative Responsibilities:

·      Greet clients and other visitors to the clinic

·      Check in clients for scheduled appointments and ensuring all required forms are completed when necessary

·      Collect co-pays and balances due on account and record payments made

·      Schedule and maintain appointments for patients and clients, including first time appointments

·      Answer incoming phone calls from multi-line phone system and direct calls as necessary

·      Reminder notifications for all first-time appointments

·      Conduct phone screenings with new or return clients to gather necessary information and enter information into computerized database

·      Create and send email communications as needed to inform team/providers of changes/issues

·      Maintain cleanliness in client waiting area; restock beverage station, tissues and client reading materials

·      Distribute, respond to, and send faxes as needed

·      Attend weekly administrative team meeting

·      Responsible for opening and closing the clinic and administrative office at all locations when required

·      Other duties as assigned by the Clinic Manager and Executive Director

·      Regular and reliable attendance

Required Qualifications:

·      Post Secondary Education

·      2 years of experience in outpatient clinic billing and/or behavioral health

·      billing

·      Proficiency in medical billing software and Electronic Health Records (EHR) systems

·      Experience with Procentive is desirable

·      Solid knowledge of medical terminology, CPT, HCPCS, and ICD-10 coding

·      Knowledge of healthcare compliance and HIPAA regulations

·      Must be available to work onsite full time (Bloomington, Minnetonka, and Chanhassen locations)

Other Qualifications:

·      Must be able to work 40 hours per week (Monday-Friday)

·      Must be able to work at office locations; Chanhassen, Minnetonka and Bloomington

·      Experience with Procentive (or other Electronic Medical Records system such as TheraManager/DocuTrac) and Dr. First are helpful

·      Experience in a mental health clinic setting

Pay:

·      Position is full time. Pay is based on experience.

·      Salary range of $45,760 - $52,000 per year.

Benefits Offered for Full Time – 40 hours per week employees:

·      Company paid Health Insurance

·      Company paid Dental Insurance

·      Employee paid Vision Insurance

·      Life Insurance

·      Accidental Death and Dismemberment

·      Employee Assistance Program

·      Voluntary supplemental insurance available through AFLAC

·      Paid holidays (New Years Day, Memorial Day, 4th of July, Labor Day, Thanksgiving, Day After Thanksgiving, Christmas Day)

·      PTO (4 weeks 1^st year, total up to 160 hours per year). After 1 year of employment, you will receive an additional week of PTO. Total of 5 weeks (200 hours) per year thereafter.