Mental Health Billing Specialist

Job Overview

The Billing Specialist plays a crucial role in managing communication with clients and caregivers regarding services, billing inquiries, insurance, payment options, and scheduling support as needed. This position involves assisting with the preparation and coordination required for the initial client evaluation or first appointment, working closely with both clients and clerical staff.

Key responsibilities include verifying and processing invoices, claims, and other billing-related tasks with accuracy and efficiency. Under the guidance of the Billing Manager and Executive Director, the Billing Specialist will collaborate with providers and relevant staff to ensure seamless coordination of patient care. Additionally, the role requires adherence to all applicable laws and regulations, including HIPAA, while fulfilling job duties.

Responsibilities

• Obtaining patient information such as: demographics, emergency contacts, referral information, and billing needs.
• Obtaining insurance or billing information; as well as processing payments to patients accounts,
• Processing paperwork, consent forms, and any related documents.
• Ensuring forms have the proper signatures and that they're filled out correctly.
• Answering and taking note of incoming inquiries via phone, fax or email.
• Following up with clients and sharing vital information.
• Keeping all information confidential; observes confidentiality and safeguards all patient related information.
• Accurately entering client information into the electronic medical record system and calendar.
• Appropriately and accurately pulls records for Billing , quality review, and audits in a timely manner.
• Verify patient insurance eligibility and benefits.
• Create and process prior authorizations, concurrent authorizations, pre-certifications and corrections requests through provider platforms and maintain appropriate logs.
• Verify authorizations in accordance with TIS policy and procedures and state and federal laws.
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing through insurance companies or other payers.
• Working with patients to establish payment plans for past due accounts, following up with them as needed for continued late payments; track and maintain records of patient billing and billable items
• Properly collecting co-pays and payments of balances to include coinsurances, deductibles, and other fees associated with TIS policies; such as, credit card processing fees and No-Show/ Late cancel fees.
• Following up on unpaid, rejected, and denied claims within the standard billing cycle timeframe.
• Checking each insurance payment for accuracy and compliance with contract discount.
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances.
• Answering all patient or insurance telephone inquiries pertaining to patient accounts.
• Updating billing software with rate changes.
• Updating cash spreadsheets and running collection reports.
• Cross trains in other departments and supports as needed to include reception services as appropriate.
• Overall supports chart completion to include coordination of patients as well as internal and external providers.
• Perform other duties as assigned.

Skills

• Strong organizational and interpersonal skills.
• Knowledge of health information management services.
• Ability to handle conflict and escalate appropriately to the Billing Manager.
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
• Ability to maintain confidentiality of all medical, financial, and legal information.
• Ability to complete work assignments accurately and in a timely manner.
• Ability to communicate effectively, both orally and in writing.
• Ability to handle situations involving patients, physicians, or others in a professional manner
• Communication, Organization, Critical Thinking, Attention To Detail, Empathy, Compassion & Patience

Experience Requirements-

• High School diploma, Bachelor’s degree in a related field preferred
• Three plus (3 ) years of experience in medical billing with a billing company or healthcare facility preferred.
• Customer service, Office Skills, & Professionalism
• Computer Skills; ability to operate electronic medical record system
• Basic understanding of mental health conditions
• Medical terminology knowledge preferred
• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
• Familiarity with CPT and ICD-10 Coding. (at least 1 year preferred)
• Computer Skills; ability to operate electronic medical record system
• Experience in Valant, Google Drive, Docs and Sheets preferred
• Previous Medical Office experience preferred

Job Type: Full-time

Pay: $21.00 - $23.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: In person

Salary : $21 - $23