Billing Specialist

Summary: The Billing Specialist manages billing processes for the DC Mental Health Program. Their list of responsibilities includes insurance verification, managing billing for clients, updating client information. Following up on insurance claims, posting payments in a timely manner, helping resolve client billing issues, and other duties as assigned.
Staff/Department Oversight: N/A
Interrelationship: Must be able to communicate with various Preventive Measures staff and clients to navigate needs effectively.
Primary Job Responsibilities:
• Verify insurance information for new patients and referrals.
• Update insurance information for existing patients
• Cross over other areas in the office as assigned by management including Accounts Receivable/Denials, Customer Services or Authorization.
• Perform billing tasks assigned by management which may include date entry, claim review, charge review, accounts receivable follow-up.
• Inform relevant clinical staff about denials.
• Provide input on system edits, processes, policies, and billing procedures to ensure maximization of revenues.
• Review report to identify revenue opportunities and unpaid claims.
• Identify and correct inconsistencies.
• Communicate billing and authorization concerns with billing manager.
• Prepare billing reconciliation reports and provide root cause analysis.
• Professionally interact and engage multiple operational groups across the company and outside clients.
• Represent the company in a professional and positive manner in all facets.
• Other duties and responsibilities as assigned.
Job Skills:
• Experience in a weekly deadline environment.
• Ability to multitask.
• Problem-solving
• Detailed and professional
• Excellent communication skills
• Take responsibility for individual and team projects.
• Work against a deadline
• Microsoft Office
• Credible knowledge is a plus.
Education/Experience:
• Experience in Mental Health Billing a plus
• High School Diploma or Equivalent; some college preferred.
• 2-5 years of billing insurance verification
Competencies:
• Professionalism--Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Ethics--Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
• Organizational Support--Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity.
• Attendance/Punctuality--Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
• Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.