What are the responsibilities and job description for the Billing Specialist position at Mountains Edge Recovery Center?
Position: Billing Specialist
Reports to: CEO
Position Purpose: The Billing Specialist maintains and ensures all medical billing - financial protocol, statutory rules and regulations adhere to Generally Accepted Accounting Procedures (GAAP). He/She maintains account receivable, gathers and disseminates data, reports and other materials relating to accounts medical billing, claims submission and insurance document(s) request to the CEO and other designated personnel.
Specific areas of responsibilities to the position:
- Weekly Claims billing submission for PA Medicaid (CCBH), NY Medicaid (Fidelis) and Private Insurance.
- Accumulates and prepares such billing reports as requested by CEO.
- Monitors insurance denials and documents request(s).
- Maintains the confidentiality of all patients and facility activities.
- Complies with facilities Policies and Procedures.
- Completes all tasks with concern for work quality.
- Maintains knowledge and utilizes Company EMR (Electronic Medical Record) .
- Knowledge and understanding of Company standards or practice.
- Knowledge and understanding of Utilization Review and Performance Improvement principles and Standards.
- Knowledge and understanding of ICD-9/10 psychiatric diagnoses codes, treatments, and clinical documentation.
- Knowledge and understanding of Joint Commission Guidelines, regarding treatment centers.
- Works closely with center staff, provides feedback, as necessary, regarding findings or reviews.
- Maintains records, data, and statistical analyses of all Billing – Coding Review activities.
Job Type: Part-time
Pay: $30.00 - $40.00 per hour
Expected hours: 32 per week
Schedule:
- Day shift
Work Location: In person
Salary : $30 - $40