Billing Specialist @ Transformations Care Network | Jobright.ai
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Transformations Care Network ยท 11 hours ago

Billing Specialist

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Health CareMental Health

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Responsibilities

Demonstrates thorough understanding of the billing/charge function
Advise physician on any changes with CPT and ICD-9 coding to maximize reimbursements and minimize denials.
Ensures daily, accurate billing/charge interface through electronic charge capture system or electronic health record, to practice management system
Completes timely resolution of any charges submitted lacking necessary information to complete interface by contacting the practice, patient or provider: missing demographic information, missing authorizations, consent to treat
Timely completion of unbilled PTQ holds and error buckets in practice management system
Maintains strong knowledge of mental health billing guidelines
Act as a resource and provides guidance and/or training to RCM team as it relates to billing
Monitors delays in provider billing and PTQ unbilled and escalates issues as needed
Consistently meet or exceed the department productivity and quality standards and performance requirements
Other duties and responsibilities as assigned: Attend team meetings, phone conferences, and training as needed; facilitate team meetings and phone conferences as needed

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.

Billing/Charge FunctionCPT CodingICD-9 CodingCertified Revenue Cycle RepresentativeElectronic Health RecordPractice Management SystemMental Health Billing GuidelinesRevenue Cycle ManagementMS WordMS ExcelMS OutlookDatabase ManagementInternet Usage

Required

Minimum 2 years of physician office experience
Self-starter; able to move own workflow along with minimal oversight
Accurate; detail oriented and able to meet tight turnaround times
Strong written, verbal, and interpersonal communication skills
Ability to exercise initiative, judgment and decision making skills
Intermediate computer skills and proficiency in MS word, excel outlook and database management and internet usage
3+ years of physician billing experience
Certified Revenue Cycle Representative or other billing certification

Benefits

Medical
Dental
Vision
Low-cost virtual care
Dependent and domestic partner coverage
401K
And more

Company

Transformations Care Network

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Transformations Care Network is a mental health care organization.

Funding

Current Stage
Growth Stage

Leadership Team

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Brian Wheelan
Chief Executive Officer
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Company data provided by crunchbase
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Orion

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