Benefits:

401(k)

Competitive salary

Dental insurance

Health insurance

Paid time off

Benefits/Perks

Competitive Compensation

Great Work Environment

Career Advancement Opportunities

Job Summary

We are hiring a Billing Specialist for our growing team! The Billing Specialist ensures behavioral health claims are billed according to all federal and state guidelines and payer requirements. The Specialist is responsible for processing daily billing claims in a timely and accurate manner. This job requires strong attention to detail.

Key Responsibilities:

Review clinical documentation from EMR billing reports for accurate and complete diagnostic and procedure information.

Proven experience as a Billing Specialist or Accounts Receivable Specialist, with a strong preference for experience in mental health or behavioral health settings.

Review all departmental billing guides, payer rules, and any changes to billing guidelines.

Maintain current working knowledge of Medicaid billing regulations and requirements.

Prepare clean claims to be sent to insurance companies electronically

Prepare electronic claims on a UB04 or CMS 1500 format

Actively works in the Utilization Review if an issue with a patient's authorization is presented

They may be required to request diagnosis or other data from providers when not recorded in the clinical documentation in the EMR or if the information is incomplete.

Determines the correct sequence of primary and secondary diagnoses according to provider documentation.

Applies knowledge of ICD-10, CPT, HCPCS, and modifiers to all provider coding and billing assignments.

Verify the completeness and accuracy of all claims before submission.

Ensure claims are submitted with a goal of zero errors.

Communicate with ARC facilities and other departments to assist with answering questions when needed.

Consult supervisor, team members, and appropriate resources to solve billing questions and issues.

Essential Experience and Education Needed:

High school diploma or GED

Administrative experience preferred

Previous Billing experience preferred

Excellent communication and interpersonal skills

Ability to work independently and collaboratively in a fast-paced environment

Full-time employees enjoy very attractive benefits packages that include health, dental, vision, life insurance, a wide array of ancillary insurance products for life’s needs, a 401(k) plan, and generous paid vacation, sick, holiday, and maternity/paternity leave policies to ensure work-life balance.