Overview
Join our dynamic healthcare team as a Behavioral Health Billing Specialist, where your expertise will drive the accuracy and efficiency of our billing processes for behavioral health services. In this vital role, you will manage claims submissions, ensure compliance with healthcare regulations, and facilitate seamless communication between providers, insurance companies, and patients. Your attention to detail and knowledge of medical coding will help optimize revenue cycles while delivering exceptional service to our clients. This position offers an energetic environment where your skills directly contribute to improving patient care and organizational success.
Duties
- Prepare and submit accurate insurance claims using billing software, EMR (Electronic Medical Records), and EHR (Electronic Health Records) systems
- Review medical records to verify diagnosis codes (ICD-9, ICD-10) and procedure codes (CPT coding) align with services provided
- Utilize DRG (Diagnosis-Related Group) classifications to support appropriate billing and reimbursement processes
- Follow up on unpaid or denied claims through effective medical collection strategies and healthcare claims management
- Maintain detailed documentation of billing activities, patient interactions, and claim statuses in compliance with healthcare regulations
- Collaborate with healthcare providers to ensure proper coding of medical records and treatment plans
- Stay updated on changes in health insurance policies, medical terminology, and coding standards to ensure ongoing compliance and accuracy
Qualifications
- Proven experience in medical billing within a behavioral health or mental health setting is highly preferred
- Strong knowledge of ICD-9, ICD-10, CPT coding, DRG classifications, and medical terminology
- Familiarity with billing software, EMR/EHR systems, and Microsoft Office applications for documentation and reporting purposes
- Understanding of health insurance processes, including claims submission, adjudication, appeals, and collections
- Excellent customer service skills with the ability to communicate clearly with patients, providers, and insurance representatives
- Attention to detail with exceptional organizational skills to manage multiple claims efficiently
- Prior experience working with medical records and medical coding is a significant advantage
Embark on a rewarding career where your expertise in behavioral health billing makes a meaningful difference! We are committed to supporting your professional growth while fostering a lively workplace environment.
Pay: $35.00 - $40.00 per hour
Work Location: In person
