Medical Billing Specialist

Healthcare Full Time

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Catholic Charities, is seeking a dynamic individual to complete our Central Billing Office team! This individual will support the billing office to perform clerical functions for revenue cycle management. This includes processing information needed to complete insurance verifications as well as investigating outstanding, or pending claims to resolve discrepancies. Follows up on accounts that require further evaluation. Works with others in a team environment.

What You Will Do:

  • Maintains patient demographic information and data collection systems.
  • Verify insurance eligibility for behavioral health insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly.
  • Review patient deductibles and/or copays and enter into the billing system.
  • Coordinate with site locations administrative staff regarding scheduling errors.
  • Enter insurance referrals as needed.
  • Respond to inquiries from insurance companies, patients and others via telephone, email or fax and review the activities needed.
  • Prepare forms, correspondence and any other related material as needed.
  • Works in conjunction with the central billing department to ensure clean claim submission.
  • Follow up on rejections from all third party payers to maximize reimbursement and to manage claims on a regular basis.
  • Draft appeals for denied claims.

 


Experience

Required

  • One year of related work experience
  • Prior Insurance Verification experience in a behavioral health office

Education

Required

  • High School or better

Behaviors

Required

  • Team Player: Works well as a member of a group
  • Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
  • Functional Expert: Considered a thought leader on a subject

Motivations

Required

  • Self-Starter: Inspired to perform without outside help
  • Financial: Inspired to perform well by monetary reimbursement

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