What are the responsibilities and job description for the Billing Specialist (BILLSPC-01) 7:30am-5pm Mon-Thur, 7:30am-11:30am Fri position at New Freedom Behavioral Health?
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The Billing Specialist is responsible for processing billing claims for all members, identifying and resolving complex claims issues adversely impacting the revenue cycle management process and achieving resolution through coordination, reconciliation, and denied claim management. The Billing Specialist follows internal and external policies and procedures, ensuring proper revenue is booked by monitoring payments, fee schedule changes, health plan reimbursement changes, and other aspects that impact revenue, cash collections, and adjustments. The Billing Specialist role requires an individual with strong analytical, problem-solving, and meta-data skills.
Duties and Responsibilities :
- Ensures proper follow-up is performed on the back-end aspects of the revenue cycle process related to reimbursement, including projects, problem and issues escalation, and research
- Analyzes billing and claims for accuracy and completion; submits claims to proper insurance entities and follows up on any issues
- Collaborates with other staff / departments to obtain and analyze additional member information to document and process billing in alignment with department policies and protocols
- Analyzes trends impacting charges, coding, collection, and accounts receivable and takes appropriate action to realign staff and revise policies and procedures
- Stays current with carrier rule changes and distributes the information within the department
- Maintains a working knowledge of all health information management issues such as HIPAA and any / all health regulations
- Monitors health plan response files to ensure appropriate action is occurring, including timely posting of files to the system
- Ensures accurate reimbursement is being received for services rendered
- Ensures accurate and timely posting of all remits and identifies payer trends and concerns
- Analyzes system data and reports, making recommendations to improve processes as needed
- Remains up to date with current coding and billing regulations and compliance requirements
- In addition, all other duties as assigned
At New Freedom, we restore lives and reintegrate communities through intentional guidance by providing our members with a sense of identity, purpose, and hope. We are growing and always looking for others who believe in our mission and have a heart to serve. Join our AMAZING team, apply now! We're fulfilling our mission thanks to the dedicated work of our amazing employees. We provide them with a valuable total rewards package that includes :
10-hour shifts with three days off - for eligible departments / positions
Additional Notes : New Freedom Ops LLC is an Equal Opportunity Employer, a drug free workplace, and complies with Veteran and ADA regulations as applicable.
