Surpass Behavioral Health · 5 hours ago

Billing Specialist

Remote/Nationwide, USA

Full-time

Remote

Entry Level

1+ years exp

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Responsibilities

Perform pre-bill review to ensure that authorization is documented where necessary.

Ensure that coding on claims follows payer guidance.

Ensure accurate billed and expected charges do not exceed usual and customary or contractual pricing where indicated.

Create and submit primary and secondary pharmacy and medical claims promptly.

Reviewing and identifying claims pricing discrepancies based on updates/changes to fee schedules.

Communicate any billing-related issues to all appropriate parties including Intake, Collections, and Manager.

Ensure coding to the highest level of specificity and for maximum reimbursement by third-party payers.

Maintain current knowledge of departmental and organizational policies.

Support billing staff in training and ongoing education when required.

Consistently represents the company in a professional manner.

Maintains effective working relationships and cooperates with all personnel in the Company.

Adheres to the Company’s compliance requirements as stated in the policy and procedure manual and all other related policies.

Performs other duties and responsibilities as assigned.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medical billing experienceHIPAA regulations knowledgeComputer proficiencyBasic math skillsBookkeepingAccounting skills