Billing Specialist jobs in United States
cer-icon
Apply on Employer Site
company-logo

Caravel Autism Health ยท 3 days ago

Billing Specialist

Caravel Autism Health is seeking a Billing Specialist to manage and execute all aspects of Third-Party Payer billing and financial tracking. The role involves preparing and submitting claims, maintaining billing procedures, and resolving client billing issues.

FitnessHealth CareMedicalMental Health

Responsibilities

Prepares and submits clean claims to Third Party Payers keeping within the expectations of the billing cycle to remain 7-10 days
Maintains information on billing procedures by client and by payer
Researches and resolves client billing issues with Third Party Payers
Performs various collection actions including review of claim denials to determine if there is a billing error that must be resolved or working with co-workers to determine the necessary steps to obtain claim payment
Follows all insurance policy and regulations
Performs daily follow-up of claims, including resolution of any billing errors
Performs daily task assignments to work various requests from multiple departments
Processes rejections and denials to determine if the claim needs to be corrected and if applicable taking the action to submit a corrected claim
Communicate with clinical staff when errors are identified that will result in billing errors and/or denials
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations

Qualification

Medical billing experienceCPTICD-10 certificationMS Office proficiencyHIPAA knowledgeAnalytical skillsCustomer service focusInterpersonal skillsOrganizational skills

Required

High school diploma or equivalent
Coursework and/or experience in medical and/or health insurance billing, medical records management
At least two years of previous medical insurance, billing, or claims processing related experience
Strong keyboarding and computer skills including MS Office (Word and Excel) experience at an intermediate level
10-key data entry proficiency
Knowledge of basic medical coding and third-party operating procedures and practices
Knowledge of financial concepts
Experience working with basic office machinery and equipment, including computers, copiers, fax machines, multi-line phone systems, etc
Knowledge of HIPAA privacy and security rules and regulations
Excellent interpersonal skills, with the ability to communicate effectively with others
Strong organizational skills, with the ability to multi-task and meet deadlines
Demonstrates initiative, with the ability to manage self and workload
Strong analytical and problem-solving abilities
Good mathematical aptitude
Exemplary customer service focus, for both internal and external clients
Able to work both independently and be self-directed, as well as being able to perform in a team atmosphere
Displays professionalism and represents organization in a professional manner
Ability to abide by ethical guidelines and policies, including strict adherence to confidentiality and HIPAA guidelines
Must be 18 years old or older

Preferred

Experience and strong knowledge of insurance procedures, reimbursement, contracts, and insurance appeal
CPT and ICD-10 certification a plus

Company

Caravel Autism Health

twittertwittertwitter
company-logo
Caravel Autism Health is a mental health care company providing applied behavior analysis and ABA therapy.

Funding

Current Stage
Late Stage
Total Funding
unknown
2017-01-01Series B

Leadership Team

leader-logo
Mike Miller
Chief Executive Officer
linkedin
leader-logo
Erin Pascucci, CMA
Chief Financial Officer
linkedin
Company data provided by crunchbase