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SalaryNEW YORK RESIDENTS ONLY- OUT of State need not apply. (Remote work in NYS)
We are seeking a talented Medical Billing Specialist who desires a career with a rapidly growing mental health (Private) group practice with upward mobility. We provide stability, we care about our employee’s wellness, and offer long-term work opportunities for advancement. Essential Functions:
Generate and enter billing for all medical visits and ensure collection of payments, including the following:
1. Ensure successful entry of all medical visits into the practice management EHR Medical Billing System.
2. Reconcile all charges and data entered into the system assuring 100% data entry accuracy; assure correct provider, facility, medical service and (mental health) coding are billed and paid.
3. Collect accounts receivable, including the following revenue sources: Medi-Cal, Medicare, PPO, HMO, Private Insurance and all other fee for service revenue.
4. Directly appeal, trouble shoot, prepare denied claims for re-billing, inquire and correct unpaid claims for re-submission on a daily basis and/or as necessary.
5. Request and follow up on additional information as needed for auditing of claims and all revenue reports including eligibility, benefits and provider information.
6. Submit claims to insurance companies on a daily basis as necessary. Proficiency in CAQH, Availity and other Medical Billing software, preferred.
7. File all billing correspondences into patient EHR charts as necessary.
8. Negotiate settlements for payments with insurance companies and patients with assistance of manager.
9. Audit claims daily to ensure timely collections. Review EOB’s as directed to ensure compliance with billing practices.
10. Follow billing policy guidelines and documented procedures for NYC and ensure all date is kept private as per HIIPA laws.
11. Consistently demonstrate and uphold the practice's values by providing quality health and human services to community members and those underserved including but not limited to low-income populations in a culturally sensitive manner.
12. Other duties as assigned.
13. Collect copays and outstanding revenue through invoicing patients for services rendered and other applicable fees.
14. Outreach patients with outstanding balances daily or as needed. Communicate professionally, kindly and effectively to collect outstanding balances and maintain strong rapport with clients/patients. Enter all payments into EHR payment systems.
15. Update patient accounts daily to ensure all patients/client accounts are not outstanding for more than 15-30 days.
16. Communicate effectively, professionally with CEO and bookkeeper on a daily basis regarding invoices, claims and outstanding fees.
17. Present weekly/monthly aging reports and initiate problem solving strategies for proper collections.
18. Maintain Availity and CAQH behavioral health profile(s) on monthly basis or as needed.
19. Knowledge in credentialing and re-credentialing processes.
20. Knowledgeable with and can maintain HIPAA regulations.
21. Collaborate with healthcare providers and other staff members to ensure accurate documentation and coding on all patient claims.
22. Stay updated on changes in medical coding guidelines and regulations
23. Review claim edits/errors within the billing system to ensure accuracy of coding and billing requirements.
24. Daily or as needed, insurance verification of prospective and existing clients.
Special Knowledge, Skills, Abilities and Attributes:
Skills:
- Proficient in Medical Billing software and electronic health record systems (i.e. Availity or Apex, other Medical Billing software knowledge a plus)
- Proficiency in CMS-1500 Claims
- Strong knowledge of ICD-10, DSM VTR codes.
- Attention to detail and accuracy in coding and billing processes
- Excellent communication skills to interact with patients, insurance companies, and healthcare providers
- Ability to work independently and prioritize tasks effectively
- Customer Service experience required.
- Demonstrated ability to exercise sound judgment.
- Bilingual in English/Spanish a plus!
- Ability to communicate clearly and concisely.
- Ability to plan and be organized.
- Ability to work well under pressure, take initiative and be flexible and cooperatives.
- Self-motivated and independently productive.
- Ability to maintain confidentiality of patient information and company records.
- Ability to work effectively with both employees and managers.
- Ability to convey a positive and professional image to patients and employees.
- Professional appearance and demeanor when necessary.
- Demonstrates proficiency in various PC applications, including E-mail, Microsoft Excel, and Word, Internet, GMAIL, GOOGLe, networking devices and Medical Billing software.
- Required to have knowledge of Medical Billing Software, CPT codes, and experiences collecting unpaid claims from Insurance carriers.
- Dependable and reliable.
- Knowledge in Mental Health Billing preferred.
- Attention to detail and multi task.
- must perform their job responsibilities according to all corporate policies, as well as to accrediting organizations, federal and state regulation in accordance to billing/coding required, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
Education and Experience Requirements
High School Diploma or GED: encouraged to take related college course work. *BA, MA preferred.
Job Type: Full-time
Pay: $23+ per hour
Benefits:
Health insurance upon completing 6+ months
Disability insurance
Life Insurance
Schedule:
Monday to Friday 9-5
Please email resume and cover letter to giovanna@veranesthealing.com
Job Type: Full-time
Pay: Up to $3,000.00 per month
Benefits:
- Employee discount
- Flexible schedule
- Life insurance
- Paid time off
- Professional development assistance
- Tuition reimbursement
Schedule:
- Monday to Friday
Work setting:
- Private practice
- Remote
Work Location: Remote
