Demo

Billing Specialist - Behavioral Healthcare

Discovery Behavioral Health DBH
Irvine, CA Full Time
POSTED ON 1/19/2025
AVAILABLE BEFORE 4/17/2025

Job Description

The  Billing Specialist  is responsible for effective communication and coordination with Insurance companies and clients to obtain the maximum benefits for our clients. The Billing Specialist establishes relationships with insurance carriers and obtain accurate, detailed insurance benefit information by phone and via the internet. Good verbal and written communication are required. Record keeping must be accurate and thorough. Flexibility with schedule so you can meet critical deadlines as established.

Responsibilities

  • Review census tracker and KIPU to confirm accuracy of charges to be billed.
  • Create and submit claims to appropriate payors.
  • Review data on insurance policies to ensure accurate claim processing and payment.
  • Accurately utilize the billing system.
  • Ensure corrected claims are submitted in a timely manner.
  • Prepare materials for submission to insurance companies as requested.
  • Contact clients to collect on outstanding account balances.
  • Maintain confidentiality of patient care and business.
  • Demonstrate strong, professional communication and interpersonal skills with clients, public,
  • managers and co-workers.
  • Perform general office duties and keep desk clean and organized.
  • Maintain accurate and thorough records.
  • Demonstrate the ability to act as a team player in a professional and positive manner.
  • Perform other duties as assigned by supervisor

This is a  full-time  position at our corporate office.

Qualifications

  • 1-year minimum healthcare experience with billing or insurance verification required.
  • Basic understanding of insurance terminology (out-of-network benefit s vs. in-network benefits, as well as coinsurance, co-pays, and deductibles), in addition to general billing practices.
  • Coding / Billing Certificate from an accredited institute or school preferred.
  • Experience with behavioral health treatment preferred.
  • Advanced MD experience preferred.
  • Knowledge of SUD, IOP, and Mental Health programs.
  • Knowledge and experience with EMR and billing software programs required.
  • Knowledge and experience with Medics software a plus.
  • Additional Information

    We are proud to be an EEO employer M / F / D / V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, or national origin.

    For more information about our company benefits, please visit us at discoverybehavioralhealth.com / careers /

    Discovery Behavioral Health seeks to build a diverse staff that is reflective of the patients we serve and the communities where we work. DBH encourages multiple perspectives, experiences, and strives to hire and retain a diverse workforce.

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