CodeMax Behavioral Health Billing · 5 hours ago
Billing Specialist (Substance Abuse Billing)
CodeMax Behavioral Health Billing is seeking a Billing Specialist who will play a key role in their Revenue Cycle Management. The position requires a strong understanding of medical terminology and coding to ensure timely and accurate reimbursement for medical services.
BillingHealth CareOperating Systems
Responsibilities
Reviews patient medical records and translates services, diagnoses, and equipment into coded form using ICD, CPT, and HCPCS code sets
Prepares and submits claims to various insurance companies, ensuring that each claim accurately reflects the services provided
Follows up on unpaid claims within the standard billing cycle, identifying issues, resolving discrepancies, and ensuring maximum reimbursement
Maintains strict confidentiality as required by HIPAA and company guidelines, protecting all patient information and medical records
Communicate with health care providers, patients, and insurance companies to address inquiries and resolve any billing and coding issues
Stays current with changes in medical coding and billing practices, regulations, and compliance through ongoing education
Ensures the accuracy, completeness and consistency of coding and implement quality assurance procedures
All other duties as assigned
Qualification
Required
Strong understanding of medical terminology, procedures, diagnoses, and equipment
Ability to translate knowledge into universal medical alphanumeric codes
Excellent communication and follow-up skills
Proficiency in using healthcare billing software and Electronic Health Record (EHR) systems
Familiarity with various insurance plans and a thorough understanding of the insurance claims process
Excellent attention to detail, organizational skills and ability to multitask
Strong communication and problem-solving skills
Strong knowledge of medical terminology, anatomy and physiology
Knowledge of HIPAA regulations and compliance standards
High school diploma or equivalent
Preferred
Associate's or Bachelor's degree in health information technology, medical billing or a related field
Certification from AAPC (CPC) or AHIMA (CCS, RHIT, or RHIA)
1 year of prior experience in medical billing and coding, preferably in a health care or hospital setting
Benefits
Health Insurance
Vision Insurance
Dental Insurance
401(k) plan with matching contributions