Billing Specialist

Job Type
Full-time
Description
Who we are
CTS Health Services is a community mental health services center that specializes in a holistic approach to health and wellness for children, parents, and adults of varying circumstances and mental challenges. We provide one-on-one behavioral interventions for our clients and their support circles to help our clients navigate through life within their community at their highest level.
A Billing Specialist is responsible for assisting with overseeing the billing process for customers or patients. Their duties include processing payments on behalf of a customer or patient, maintaining organized financial records to aide reporting and calculating bill totals by looking through previous financial statements.
**This individual must live in or around the CHicagoland area due to needing to commute to the office when needed**
The Billing Specialist's responsibilitites consists of, but not limited to:

• Coding outpatient medical and behavioral health medical records.
• Reconciling insurance claim denials in a timely manner.
• Identifies carrier-related denial trends and payment problems that need to be reported to the Finance and Operations Department.
• Creates and submits accurate spreadsheets of outstanding accounts receivable to assigned payors and pursues balances owed.
• Verifies that the services are correctly authorized and that required documentation is on file prior to billing.
• Ensures that all required documentation for billing is completed and accurate prior to claim submission.
• Submits timely, accurate invoices to payer for products and services provided.
• Submit invoices to patients and recoup any outstanding balances on patient accounts within the proper timeframe.
• May assist in training new team members.
• Other duties tasked by immediate supervisor

Requirements
The ideal Billing Specialist candidate will possess the following:

• Currently living in or around the Chicagoland area, required.
• Understanding of ICD-10 and CPT coding
• 5+ years experience in Medical Billing, preferably with both physical and mental health
• Certification, education, or training in medical billing and coding, preferred
• Experience with billing and insurance verfication with Medicaid, Medicare, and Commercial payer
• Experience with payment posting and end of day reconciliation
• Strong computer skills including MS Excel and proficiency working with spreadsheets.
• Great organizational, communication, organization, and problem-solving skills.
• Self-motivated, work independently with minimal direction.

Training will be completed with CTS if not already in possession:

• CTS Health orientation
• Rule 132
• Service Definition
• OIG Rule 50
• First Aid/CPR/AED/Bloodborne Pathogen
• HIPAA
• Client Rights
• Confidentiality
• Mandated Reporter
• Health and Safety
• Cultural Competency
• Workplace Violence and Safety
• Waste, Fraud & Abuse

What you get:

• Full benefits package after 90-day probationary period
• Flexible hours and schedule
• Growth opportunities
• Encouragement of creativity
• Holistic and supportive culture and environment
• Referral bonus!

Salary Description
20.00 - 25.00 per hour