What are the responsibilities and job description for the Behavioral Health Billing Specialist position at FAIR HAVEN COMMUNITY HEALTH CLINIC INC?
For 53 years Fair Haven has been a health care leader in our community focused on providing excellent, affordable primary care to all patients, regardless of insurance status or ability to pay. Fair Haven is proud to have a diverse and motivated team of professionals who are constantly seeking ways to enhance and improve the health and well-being of all patients.
We are seeking a Behavioral Health Billing Specialist. The Behavior Health Billing Specialist works with the Billing and Behavior Health departments ensuring all claims are reviewed for accurate documentation, submission and reimbursement.
Duties and responsibilities
The Behavior Health Billing Specialist maintains the professional reimbursement and collections process for the Behavior Health Program. Typical duties include but are not limited to:
- Reviews medical record documentation to determine appropriate ICD-10-CM/CPT codes and modifiers in accordance with official coding guidelines.
- Codes in accordance with coding and departmental guidelines. Maintaining no less than 93% accuracy in choice of codes, as observed in quarterly auditing.
Prepares by review the submission of clean claims to various insurance companies including but not limited to; carrier, guarantor, place of service and servicing provider
- Works claims and claim denials to ensure maximum reimbursement for services provided
- Uses department resources regularly and follows workflows, with minimal assistance or intervention, to perform daily work to meet daily metrics.
- Works with peers and/or leadership to create and maintain accurate up-to-date policies and procedures.
- Perform other related duties that may be inclusive, but not listed on the job description
