What are the responsibilities and job description for the Billing Specialist position at Thrive Behavioral Network?
Who we are:
Thrive Behavioral Network. If you want to join an AMAZING Behavioral Healthcare Team, whether just starting out or have been a professional in the field for decades check us out and keep reading!
The People:
We have built amazing teams of healthcare workers who are compassionate, out-of-the-box thinkers, who come to work everyday to knowing that their job will throw them in a few different directions and they like that! We employ people who genuinely like other people, and who embrace differences. You will soon find yourself immersed in a strong team atmosphere where support is in abundance.
Responsibilities:
The Billing / Accounts Receivable Specialist is responsible for a variety of duties, as assigned by supervisor, which may include routine billing payment posting, and problem solving for various payers, including insurance, Medicare and private pay, and also special projects in billing and collection. May be responsible for billing and posting for Special Contracts and for obtaining and/or entry of prior authorizations. The billing Specialist is responsible for clear, detailed communication with the clinical and billing staffs and with payers and clients regarding various insurance-related and payment-related issues. Responsibilities may also include researching and resolving client insurance claims which are denied or uncollected and, also, working with the clinical staff members to resolve billing problems. Communication with clients is trauma-informed rather than confrontational, reflecting sensitive, thoughtful, courteous communication taking into account the emotional nature of our work. Other special projects may be assigned.
Responsibilities / Skills:
- Review adjudicated claims for accuracy and final resolution
- Issue adjusted, corrected, and/or rebilled claims to insurance companies
- Review and analyze claims denials to perform the appropriate appeals necessary for reimbursement
- Send out insurance appeal in a timely manner and follow up with insurance to ensure receipt and processing
- Communicates directly with the payor, resubmits denied claims, underpaid claims or inaccurately processed
- Strong research, analytical, data entry and troubleshooting skills are required
- Strong organizational skills with good written and verbal communication
- Superior interpersonal, leadership, and people skills.
- Accurate typing/data entry at a minimum of 40 wpm.
- Ability to communicate effectively in writing and verbally.
- Ability to work independently to perform assigned duties effectively and efficiently
- Ability to manage multiple priorities and deadlines
- Ability to identify, review, analyze, interpret, and present complex data; and to use creative thinking and logic to investigate and solve problems including making recommendations to outside departments to eliminate future problems.
