Job Description

Job Summary:

Better Morning, a behavioral health service provider in VA and DC, is seeking a detail-oriented and experienced Medical Billing Specialist to join our team at VA/DC. The ideal candidate will have a strong background in medical billing procedures, excellent communication skills, and the ability to work effectively in a fast-paced environment. As a Medical Billing Coordinator, you will be responsible for accurately billing patients and insurance companies, resolving billing discrepancies and claim denials, and ensuring timely payments. Prior experience in DC Medicaid and Manage Care Organization (MCO) are preferred.

Competitive salary commensurate with experience.

Responsibilities:

• Involve in patient enrollment.
• Verify patient insurance coverage and eligibility.
• Communicate with patients, insurance companies, and healthcare providers regarding eligibility and coverage.
• Obtain pre-authorization.
• Generate and submit medical insurance claims accurately and in a timely manner.
• Review and appeal denied or rejected claims.
• Follow up on unpaid claims and overdue balances.
• Communicate with patients, insurance companies, and healthcare providers regarding billing inquiries and discrepancies.
• Maintain up-to-date knowledge of medical billing regulations and coding guidelines.
• Assist in resolving coding issues and billing disputes.
• Collect payments (copays, coinsurance, etc.)
• Maintain patient confidentiality and adhere to HIPAA regulations.
• Communicate with insurance companies regarding Medical Records
• Understand credentialing providers with insurance companies.

Qualifications

Qualifications:

• Associate or bachelor’s degree preferred.
• Minimum of 2 years of experience in medical billing and coding
• Good understanding of eligibility and authorization.
• Experience in insurance verification and authorization processes.
• Proficiency in medical billing software and electronic health record (EHR) systems
• Knowledge of medical terminology, CPT, ICD-10, and HCPCS coding
• Strong attention to detail and accuracy
• Excellent communication and interpersonal skills
• Ability to self-start, multitask and prioritize workload effectively and always maintain professional conduct.
• Familiarity with the following MS Office Suite (Excel, Word, PowerPoint)
• Certification in medical billing and coding (e.g., CPC, CCS-P) preferred but not required.

Additional Information

Job Types: Full-time, Contract

Expected hours: 40 per week

Schedule:

• 8 hour shift
• Monday to Friday
• Weekends as needed

Ability to Relocate:

• Washington, DC: Relocate before starting work (Required)

Work Location: In person in NW Washington DC Office