Billing, Business Support, Charge Capture, Communication Skills, Computer Skills, Current Procedural Terminology (CPT), Database Administration, Detail Oriented, Employee Relations, Healthcare, ICD-9, Interpersonal Skills, Medical Record System, Microsoft Excel, Microsoft Outlook, Microsoft Word, Onboarding, People Management, Presentation/Verbal Skills, Problem Solving Skills, Psychiatry and Mental Health, Quality Metrics, Team Player, Teleconferencing, Time Management, Training/Teaching, Writing Skills
As a SeniorBilling Specialist, you will be an essential part of the corporate business support team. This position reports to the Billing Manager/Supervisor and is responsible for daily billing/interfacing of charges as well as any manual charge entry functions assigned. Assists in training and development of billing department teammates.
Key Responsibilities:
- Function as first-level contact and subject matter expert (SME) for the day to day billing operations.
- Advise physician on any changes with CPT and ICD-9 coding to maximize reimbursements and minimize denials.
- Assist in training teammates on department policies and procedures as well as billing operations.
- Demonstrates thorough understanding of the billing/charge function.
- 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
- Develop and maintain positive working relationships with clinical personnel, teammates and Payor representatives and other key stakeholders
- Responds to complex billing related questions and resolves escalated issues
- 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
Qualifications:
- Minimum of 3 years physician billing 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
- 4-6 years of physician billing experience (Preferred)
- Certified Revenue Cycle Representative or other billing certification (Preferred)
Explore the Advantages of Joining Our Team:
- Enjoy competitive compensation and a wide range of benefits, including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, 401K, and more, designed to support your well-being and financial security.
- Immerse yourself in a community united by a deep commitment to enhance mental health and revolutionize the care that clients receive.
- Embrace a journey of growth and development through continuous learning, guided by seasoned professionals, fostering your career growth in a nurturing environment.
- Play a pivotal role in reshaping how mental health care is perceived and delivered in your local community as well as on a national scale, with your efforts directly improving client lives.
- Deliver mental health care in a sustainable way, with the support and tools you need to thrive.
- Thrive in an environment that celebrates collaborative success, driven by effective communication, support, and unity.
- Receive comprehensive onboarding and ongoing educational resources, tailored to cultivate your talents, and assure your triumph in your role.
Transformations Care Network is committed to fair and equitable compensation practices. The hourly compensation range for this role is $22 - $26. Actual compensation may vary based on licensure, experience, market-driven enhancements, and incentive opportunities available for this role. These ranges represent our current standard compensation practices and may be adjusted over time to remain competitive and aligned with organizational needs.
Transformations Care Network is an equal opportunity employer, committed to fostering an inclusive and diverse workplace.
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Transformations Care Network