What are the responsibilities and job description for the Medical Biller position at Rowan Psychiatric and Medical Services, PA?
Qualifications
- The ideal candidate has a strong background in medical billing within a behavioral health setting with excellent problem-solving skills.
- Minimum 2-3 years of experience in medical billing, with a focus on mental health or behavioral health services
- Proven experience in denials management, appeals, and insurance follow-up
- Strong understanding of insurance credentialing, provider enrollment, and payer requirements
- Proficiency in Tebra (Kareo) and other electronic billing systems
- Familiarity with Medicaid, Medicare, and commercial insurance payers
- Knowledge of CPT codes, ICD-10 coding, and mental health billing regulations
- Ability to analyze denial trends and implement solutions to optimize revenue
- Excellent problem-solving, communication, and organizational skills
- Assist with provider credentialing and re-credentialing processes with Medicaid, Medicare, and commercial payers
- Ensure all provider credentials are up to date and compliant with insurance company requirements
Responsibilities
- The Mental Health Billing Specialist will be responsible for managing claim denials, appeals, insurance credentialing, and verification processes
- Review, analyze, and resolve denied or underpaid claims in a timely manner
- Prepare and submit appeals for denied claims, ensuring compliance with payer guidelines
- Track and follow up on outstanding claims, correcting errors to secure payment
- Work closely with insurance companies to identify trends in denials and implement corrective actions
- Conduct insurance verification for new and existing patients, confirming benefits, eligibility, and coverage details
- Maintain detailed records of provider contracts, enrollment status, and credentialing applications
- Utilize Tebra for billing, claims processing, and account reconciliation
- Maintain compliance with HIPAA, payer policies, and industry regulations
- Assist with patient billing inquiries and develop payment plans as needed
- Generate reports on claim status, denials, credentialing progress, and revenue cycle trends
Summary
As a Medical Biller, you will be essential in managing the billing process within a healthcare setting, ensuring accurate and timely submission of claims. Reporting to the Billing Manager, you will utilize your core skills in medical coding, EHR systems, and medical terminology to handle medical records and collections effectively. Your premium expertise in ICD-10 and CPT coding will be crucial in navigating complex billing scenarios. Strong communication skills will be vital as you interact with healthcare providers and insurance companies, ensuring compliance and optimizing revenue cycle management. Join our team to contribute to the financial health of our organization.
Job Type: Full-time
Pay: $17.42 - $20.00 per hour
Schedule:
- 8 hour shift
- Monday to Friday
Ability to Commute:
- Concord, NC 28025 (Required)
Work Location: In person
Salary : $17 - $20