Ascension Recovery Services in partnership with Wise Path Recovery Centers is recruting for Behavioral Health Billing Specialist to join our team.

Position is 100% remote and candidates must be in the Eastern Standard Time Zone

CANDIDATES MUST HAVE BEHAVIORAL HEALTH OR SUBSTANCE USE DISORDER BILLING EXPERIENCE

The Specialist is responsible for accounts receivable through claim follow up, cash collection, and denial management for services rendered by all payors. This position requires knowledge of Federal, State, and payer regulations, reimbursement methodologies; and communication with third party payers to facilitate timely and accurate reimbursement.

Accountabilities

• Confirm eligibility and benefits verification for treatment, hospitalization, and procedures.
• Review of client documentation for UR and Billing Purposes. Properly document in billing notes all communications efforts with insurance companies and patients.
• Prepare, review, and transmit timely and accurate claims using billing software, including electronic and paper claim processing and submission on a daily basis for assigned facilities.
• Maintain contact with other departments to obtain and analyze additional patient information to document and process billings; Follow up with the provider on any documentation that is insufficient or unclear.
• Assign Procedure and Revenue codes to diagnoses and services, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes; ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
• Review and resolve clearing house rejections.
• Update billing software with rate changes.
• Review and discharge dispositions entered and correct when necessary.
• Educate and train the team on the importance of proper documentation
• Prepare, execute, and maintain daily, weekly, monthly, and quarterly reports
• Review each insurance payment for accuracy and compliance with contract discount; contact insurance companies regarding any discrepancy; follow up on unpaid claims in timely manner.
• Review patient bills for accuracy and completeness and obtain any missing information.
• Identify and bill secondary or tertiary insurances.
• Research and appeal denied claims
• Prepare and submit patient statements in a timely manner.
• Communicate with patients concerning outstanding balances; establish patient payment plans and manage collection accounts.
• Manage and resolve all items on Denial Work list and Unbilled Item report
• Promote and adhere to the workplace values of integrity, respect, trust, teamwork, quality, and excellence

Education and Experience

• High school diploma or equivalent required; secondary education in Finance or Healthcare Management preferred.
• 3+ years billing experience in substance use disorder and mental health required; experience with facility providing multiple levels of care REQUIRED
• 3+ years of experience working with healthcare systems, diagnostic coding, and procedural codes
• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems required
• Excellent computer skills, EMR KIPU/AVEA Experience preferred
• Strong organizational skills with the ability to multi-task.