Legacy Behavioral Health Center, Inc. · 7 hours ago
Billing and Coding Specialist
Lake Worth, FL
Full-time
Onsite
Senior Level
5+ years expLegacy Behavioral Health Center, Inc. is seeking a Billing and Coding Specialist with expertise in Medicare billing. The role involves processing and managing Medicare billing, ensuring compliance with regulations, and providing clerical support to the Billing Department.
Health CarePsychologyTherapeutics
Responsibilities
Process manual and electronic billing specifically for Medicare, Medicaid/HMO, private, and contractual funding sources
Ensure all claims include the correct rendering NPI number and meet Medicare-specific documentation requirements
Confirm that services have an active Prior Authorization when applicable, particularly for Medicare services
Accurately process billing with procedure codes, service dates, amounts, and diagnostic codes, adhering to Medicare billing guidelines
Generate and maintain spreadsheets for each contractual client, verify funding sources, and update the process monthly with a focus on Medicare-related cases
Enter and summarize billing information for Medicare services
Pull and review charts to ensure they meet Medicare documentation requirements
Document services rendered as required, ensuring alignment with Medicare billing standards
Adhere strictly to confidentiality laws (HIPAA) and Medicare regulations
Follow the organization’s policies and procedures with an emphasis on Medicare billing practices
Collaborate effectively with other departments to ensure accurate and timely Medicare billing
Provide expert advice and guidance on Medicare billing practices to colleagues and stakeholders
Participate in staff development training and workshops, particularly those focused on Medicare billing updates and compliance
Enter data as required in the database system, with a focus on accuracy in Medicare billing
Generate correspondence as needed, particularly related to Medicare billing issues
Perform other department duties as assigned
Qualification
Required
High School Diploma or equivalent
Minimum of 5 years of experience in medical billing and coding, specifically with Medicare
Billing and Coding certification is required
Advanced knowledge of Medicare billing practices and regulations is mandatory
Company
Legacy Behavioral Health Center, Inc.
Legacy Behavioral Health Center, Inc. is a community mental health center that has been serving residents of Martin, Okeechobee, St.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase