What are the responsibilities and job description for the Medical Billing Specialist position at Wellspring Inc?
The Medical Billing Specialist performs under general supervision a variety of moderately complex to complex tasks related to the management of all pertinent receivables.
Our Mission
Wellspring promotes mental health recovery and supports individuals in building healthy and hopeful lives through behavioral health, housing and employment services.
Our Vision
Recovery is possible for all persons having a psychiatric disability. Having decent, affordable housing with available recovery-oriented services is fundamental to individual success and it is a basic human right.
Our Values
We are dedicated to providing recovery-oriented programs and services, which incorporate client-centered, individualized care, and utilize a multi-disciplinary approach.
Position Responsibilities:
- Conducts thorough research of claim status to identify issues and takes corrective measures to obtain payment and ensure accuracy of future claim submissions.
- Works closely with payers to determine additional or supportive documentation that may be needed to facilitate prompt payment and provide documentation in a timely manner.
- Researches insurance information to accurately determine benefits and ascertain primary or secondary status for Medicare and Medicaid.
- Works in coordination with service locations to obtain information needed for clean claim submission and additional follow up documentation as needed.
- Conducts analysis of denials and partial payments to determine trends that may need to be addressed either in revenue cycle management, operationally, or with the payer.
- Resolves denial and payment issues with resubmission of claims and processing of appeals.
- Communicates effectively and frequently with supervisor regarding accounts.
- Completes special projects and other assignments deemed necessary.
Qualifications:
- Ability to learn a variety of systems and maneuver through them daily, including electronic medical record systems, clearinghouse systems, and carrier systems.
- Excellent problem-solving skills and the ability to handle multiple tasks simultaneously.
- Ability to work independently and prioritize responsibilities daily in order to complete all assignments timely and accurately.
- Strong computer skills with advanced Microsoft Excel knowledge and experience.
- Ability to work in a fast-paced, continuously changing environment.
- Ability to recognize road-blocks that may be causing slower reimbursement and work with management team to create solutions.
- Superior customer service and written/verbal communication skills.
2-4 years of medical billing and collections experience preferred.
Job Type: Full-time
Pay: $35,500.00 - $40,000.00 per year
Ability to Commute:
- Louisville, KY 40201 (Required)
Ability to Relocate:
- Louisville, KY 40201: Relocate before starting work (Required)
Work Location: In person
Salary : $35,500 - $40,000
