Billing Specialist

Billing Specialist

Position Overview : The Billing Specialist is primarily responsible for completing billing activities for all third-party payers and private pay clients. Additionally, this position will provide key support for revenue reporting, audits and other billing management functions. The Billing Specialist reports to the Director Revenue Cycle.

Principal Responsibilities :

• Timely importing of electronic remittance advices (ERAs). Strict monitoring of insurance appeals and Accounts Receivable balances.
• Coordinates coding and payment issues with other areas and departments as required.
• Receive, investigate and respond to client billing inquiries and requests.
• Follow up with clinicians on any documentation that is insufficient or unclear.
• Develop and maintain relationships with all third party payers to get authorizations, investigate claim denials and resolve collections issues.
• Responsible for reviewing cash sheets and applying copays to client accounts
• Work in partnership with the Compliance team.
• Monitor and work aging accounts as needed.
• Cross train within department to provide coverage when necessary.
• Inputting payment history, upcoming payment information, generating client statements, and ensuring accuracy of individual accounts.
• Enter charges and payments into electronic health records, including posting payments and researching and investigating unapplied credits.

Competencies :

Diversity and Inclusion : Foster an environment in which all members of the Clifford Beers community, from staff to partners and clients, are treated equitably and are able to contribute fully and meaningfully to the mission of Clifford Beers. Employees must make every effort to :

Integrity : Act ethically with honesty and consistency regardless of the situation. Employees must make every effort to :

Excellence : Commitment to deliver outstanding practices in both managing the organization, service delivery, and collaborating with partners. Employees must make every effort to :

Communication : The ability to express oneself clearly and professionally both in writing, conversations, and in nonverbal communication with others. Employees must make every effort to :

Requirements : Valid driver's license and reliable transportation

Travel : This role may require travel throughout the State of Connecticut.

Physical Abilities : 20% of the time is spent making repetitive motions - 30% of the time spent sitting - 20% walking, bending, standing, stooping, crouching or kneeling - 30% of the time is spent using hands to type, write, or use controls - Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Environmental Conditions : Indoors, Environmentally controlled - Close Physical Proximity to coworkers

Reporting Relationships : The Billing Specialist will report to the Director Revenue Cycle.

Education and Experience : 3+ years of Medical Billing experience

Experience in billing in behavioral health care

Experience reconciling and resolving billing transactions with the accounting general ledger system is a plus

Experience working within an Electronic Health record required, experience with Carelogic EHR a plus