TRADITIONAL MEDICAL BILLING EXPERIENCE DOES NOT APPLY TO THIS POSITION
THIS POSITION REQUIRES EXPERIENCE IN BEHAVIORAL HEALTH BILLING - SPECIFICALLY MEDICAL DETOX, INPATIENT, AND OUTPATIENT SERVICES.
Company Overview
ADAPT Programs and ADAPT Foundation, Inc. are a leading provider of inpatient and outpatient substance use disorder treatment across multiple locations in Southeast Texas. We are dedicated to delivering high-quality care, backed by HHSC licensing and CARF accreditation, ensuring our patients receive the support they need for recovery.
Summary
As the Billing Coordinator at ADAPT Programs and ADAPT Foundation, Inc., you will play a vital role in developing and managing billing processes and ensuring accurate medical billing and coding for our substance use disorder treatment services. This position is essential in supporting our mission to provide exceptional care while maintaining financial integrity.
Responsibilities
TRADITIONAL MEDICAL BILLING EXPERIENCE DOES NOT APPLY TO THIS POSITION
THIS POSITION REQUIRES EXPERIENCE IN BEHAVIORAL HEALTH BILLING - SPECIFICALLY MEDICAL DETOX, INPATIENT, AND OUTPATIENT SERVICES.
- Responsible for knowing and following assigned plans' guidelines, pre-certification requirements and procedures for filing and appealing claims of Third Party Payors, including Medicaid, and all insurance plans.
- Interact regularly with insurance carriers to provide accurate information, allowing the carrier to make an informed determination of a patient's coverage, eligibility, and calculate any patient financial responsibilities.
- Ensure insurance coverage via telephone or web resolves any issues with coverage and escalates complex issues to a supervisor or manager.
- Provide effective communication to client/family, team members and other health care staff in regards to benefits, appointment scheduling, client responsibility via email or other means; provide proper forms for financial responsibility, self pay clients, payments arrangements and admissions payments.
- Work closely and communicate effectively with access center team to ensure all persons interested in admission to ADAPT Programs and ADAPT Foundation, Inc. are contacted within required timeframe and admissions are completed as appropriate. Complete any required documentation..
- Assist in all functions associated with Admissions including collecting client responsibility payments and coordinating with Business Manager and Accounting Assistant.
- Electronically prepare and submit clean claims to various Third Party Payors
- Ensure standard treatment and behavioral health billing codes are accurately assigned to clients' medical information for insurance reimbursement purposes.
- Perform various inquiries and collection actions regarding reimbursements/payments from Third Party Payors by phone or web.
- Answer phone calls from clients regarding accounts and contact clients regarding outstanding account balances for services.
- Assist in setup of payment plans if the client cannot pay in full when bill is received.
- Accurately input data and maintain documentation in client files, including any invoices and payments.
- Analyze, work, and appeal all denials from EOB's and correspondence daily. Flag and identify accounts appropriately.
- Review EOB's and download all electronic remittances and ensure that allowances, adjustments, unallocated payments and overpayments are posted correctly.
- Initiate refund requests for overpayments.
- Maintain strict confidentiality on all client and foundation matters and refer any questionable issues to supervisor.
- Perform additional duties as assigned and consistent with the non-exempt functions as defined in this job description.
Requirements
- Proven experience in BEHAVIORAL HEALTH medical billing or coding, preferably in a behavioral healthcare setting.
- Excellent attention to detail and organizational skills.
- Ability to work independently as well as part of a team.
- Familiarity with all claims submission and collection processes is a plus.
If you are passionate about supporting healthcare operations and have the skills to ensure accurate billing processes, we invite you to apply today to join our dedicated team at ADAPT Programs!
Pay: $22.00 - $24.00 per hour
Benefits:
- Dental insurance
- Employee assistance program
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Professional development assistance
- Vision insurance
People with a criminal record are encouraged to apply
Ability to Commute:
- Angleton, TX 77515 (Preferred)
Ability to Relocate:
- Angleton, TX 77515: Relocate before starting work (Preferred)
Work Location: In person
