What are the responsibilities and job description for the Billing Specialist position at Promises Behavioral Health, LLC?
Job Description
Job Description
NOTE : Experience within the Behavioral Health Industry is required. This is a fully remote position, however we are recruiting specifically from the South Florida region.
Position Summary
Responsibilities involve billing of institutional and professional claims to various insurance companies / payers. The biller will audit and conduct all research relating to meeting payer billing guidelines for clean claims submission. Will include the handling of the billing function for multiple facilities as assigned.
Primary Duties and Responsibilities
- Submission of clean claims per billing frequency as assigned by management.
- Assist with the coverage of the other facilities, as needed.
- Maintain correct and specific billing guidelines and relay any updates needed to management.
- Reconcile charges in patient accounting system to ensure that all billable charges are capture and submitted within the appropriate time frame.
- Handles rebill requests and assist with billing projects as assigned.
- Review and correct billing edits in Waystar in order for the claim to be released for submission.
- Assist in month-end close.
- Be knowledgeable of all managed care organizations (MCO)
- Accept responsibility for professional growth and development of self.
- Support facility wide performance improvement goals and objectives.
- Other duties as assigned.
Job Qualifications and Requirements
Education :
Experience :
Knowledge / Skills / Abilities :
