Northpoint Recovery · 3 hours ago
Billing Specialist (Temporary)
United States
Contract
Remote
Mid Level
$23/hr - $25/hr
3+ years expNorthpoint Recovery is a leading behavioral healthcare provider offering evidence-based treatment for adults with substance use and co-occurring disorders. The Billing Specialist is responsible for electronic and paper claims submission, claim follow-up, and ensuring accurate and timely processing of claims for payment posting from various insurance companies.
Health Care
Responsibilities
Batch and submit HCFA1500 and UB04 insurance claims electronically via billing platform and/or payer portal
Ensure billing accuracy and efficiency, and resolve payer rejections/denials swiftly for services provided to Northpoint patients and clients
Review information from electronic medical records in patient account (IE: auth, benefit verification, orders, notes, etc.) to ensure preparation and submission of clean claims
Generate and submit claims to insurance companies, government programs, and other payers for services provided to Northpoint patients and clients
Resolve rejected electronic claims so that current submission is successful and future submissions are not rejected
Promptly resolve rejected claims for timely resubmission
Conduct regular follow-up with insurance companies on claims statuses
Knowledge of CMS and Third-party payer regulations and guidelines
Manually process any claims that are not eligible for electronic submission
Daily review and follow up of unbilled appointments in the system, ready to bill queues
Ensure compliance with relevant healthcare regulations, HIPAA, and stay up-to-date with changes in billing and reimbursement guidelines
Collaborate with other departments, such as clinical staff and administrative teams, to resolve billing and payment issues and improve processes
Utilize a strong understanding of insurance billing and coding requirements
Maintain active working knowledge of Northpoint billing and reimbursement requirements by payer
Collaborate with RCM team and other departments to ensure successful execution of assigned duties and priorities
Maintain confidentiality in accordance with established policies and procedures and standards of care
Adhere to all Company policies and procedures
Perform other job-related duties as assigned
Qualification
Required
3+ years of medical billing, payer relations, or medical A/R experience in a healthcare system required
All-in-one practice management, clearing house and billing software required
Must be proficient with HCPCS/CPT, ICD-10 Coding, DSMS and ASAM criteria, and various data entry systems for 3rd party billing and payers, and their reimbursement and denial patterns
Ability to work well in a team environment with ability to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
Knowledge of navigating through payer portals
Must be at least twenty-one (21) years of age
Preferred
1+ year of experience in substance use disorder and/or mental health setting preferred
Experience with a facility providing multiple levels of care is also preferred
Experience working with commercial medical insurance billing, claims submission, and the technical aspects of billing software
KIPU or similar EHR/EMR experience preferred
Sense of ethics, integrity, and confidentiality about employee and business issues
Ability to work independently and within a dynamic team environment
Maintain professional and technical knowledge
Excellent critical thinking skills and organizational abilities
Excellent communication skills; ability to communicate clearly and concisely, verbally and in writing
Quickly and effectively identify and resolve problematic situations
Comfortable analyzing information and dealing with complexity
Attention to detail and accuracy
Able to handle confidential material in a reliable manner
Ability to interact and communicate with individuals at all levels of organization
Ability to perform several tasks concurrently with ease and professionalism
Ability to effectively prioritize workload in a fast-paced environment
Proficiency with Microsoft Office Suite
Company
Northpoint Recovery
Northpoint Recovery is specialized drug and alcohol detox and rehab treatment center located in Southwestern Idaho.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
unknown2016-01-01Acquired
Leadership Team
Stokes Aitken
Chief Executive Officer
Recent News
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