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Harbor · 1 month ago

Initial Billing Specialist

Toledo, OH

Full-time

Onsite

Entry Level

4+ years exp

Harbor is a leading provider of mental health and substance use treatment for over 100 years. They are seeking an Initial Billing Specialist to manage revenue cycle tasks, ensuring accurate claim submission and payment receipt while collaborating with clients and internal teams.

FitnessHealth Care

Responsibilities

Receives incoming questions from clients, payers and/or clinicians regarding client accounts; initiates data submission for any additional information needed, and interprets information back to the client, payer and/or clinician

Verifies insurance coverage, co-payment, and coordination of benefits and updates client billing information accordingly

Maintains current knowledge regarding public payers, third-party and first-party payment procedures and regulations

Reviews charges for accuracy and generates claims for billing to payers and/or clients and follows up timely on claim generation errors

Generates file(s) for claim submission and utilizes appropriate clearinghouses to submit claims

Monitors and maintains claim rejections in the clearinghouse to effectively clear rejections in a timely manner

Monitors trends in submission and rejection and communicates information effectively to Claims Coordinator to assist in resolving system errors and identify potential projects

Updates and inputs corrections into EHR/EMR software to prevent future claim rejections

Keeps current with trends and developments related to essential job competencies and demonstrates continued growth

Qualification

Medical Billing CertificateBehavioral Health BillingCoding ExperienceMicrosoft Office 365Customer ServiceSelf-DisciplineOrganizationAttention to DetailEffective CommunicationTeamwork

Required

Certificate in Medical Billing or an associate degree in business, healthcare, accounting, or closely related field required, or may substitute four years related experience in lieu of degree

Must have strong attention to detail and be able to communicate effectively with various individuals

Competent computer/PC skills using Microsoft Office 365, Excel, and electronic health record systems

Must be able to establish daily work priorities and work independently and efficiently to meet deadlines

Must be honest, dependable, self-disciplined, organized and be able to work well as a team member