Billing Representative I

Join our team of competent and compassionate professionals as a Billing Representative at Behavioral Health Network!

Billing Representatives at Behavioral Health Network-

• Scrub claims prior to submission for errors and billing accuracy.
• Research and troubleshoot errors for resolution and/or escalate to proper staff as needed.
• Approve, batch, and submit all claims within the agency utilizing appropriate methods.
• Follow up on all batches submitted to ensure all claims adjudicate without rejection..
• Research, develop, and maintain a solid understanding of all third-party payer and contractual billing requirements for all programs, becoming a subject matter expert for an assigned selection of services or payers.
• Investigate denied claims and apply appropriate resolution technique such as a written appeal or corrected claim within a timely manner to obtain payment.
• Review outstanding aged receivables by researching internal and external policies, procedures, and guidelines, and taking appropriate corrective action.
• Identify and complete initial exploration on denial issues identified as a trend and escalates to management as needed. Assist with bulk claim resubmission projects as assigned by management.
• Take part in regular training and educational opportunities offered by payers, vendors, and Association of Behavioral Health of MA to stay up to date on ever-changing policies and guidelines.
• Massachusetts ACO/MCO mental health billing experience

Behavioral Health Network is a growing non-profit community behavioral health agency that has been providing services to children, adults, families and communities in Western Massachusetts since 1938. BHN provides comprehensive, outcome-driven behavioral health care. We are dedicated to offering high quality, affordable and culturally appropriate care to people of all ages and income levels in our constituent communities.

Qualifications/Requirements

• Billing Representatives at Behavioral Health Network have the following qualities:
• Associates Degree OR 3-5 years prior health care billing experience preferred.
• Ability to schedule, meet and maintain daily and monthly routines, as well as preserve the integrity of the EHR.
• Ability to organize tasks and priorities as well as meet individual and department goals.
• Extensive knowledge of medical insurance and an overall understanding of managed care products (HMO, PPO, ACO, etc.) as well as billing and collections with CPT, ICD-10, and HCPC coding and medical terminology.
• Team Player - Ability to interact effectively with other departments and key contacts necessary to facilitate billing process.
• Knowledge and compliance of Medicare’s Fraud Waste and Abuse guidelines and principles.

100% remote role! Eastern Standard Time Zone

How do I apply to be a Billing Representative?

If you are interested in this opportunity, please click “Apply for Job” from Kronos/WFD or visit our website at www.bhnworks.org and click on “Browse All Jobs” to apply!

BHN maintains its commitment to social justice and diversity and strongly encourages diverse candidates to apply.