Billing and Collections Specialist

Description

Full-Time Billing Specialist

BayMark Health Services is looking for an organized, analytical and

detail oriented Billing Specialist to manage billing processes and claims submissions. Additionally, the billing specialist is responsible for reporting expiration of patient authorizations, recording / maintaining adjustment spreadsheets,

and manage assigned accounts.

Responsibilities :

Medical AR follow-up procedures to include reviewing and working aging reports, denials and insurance correspondence from various insurance carriers

Data entry of charges and billing of claims to various insurance companies

Ability to

analyze

audit

, and document actions taken on each account

Submit and r

eview outstanding claims

contact insurance carrier

(s)

for resolution

Reconcile various accounts,

post payments and

initiate refund requests when appropriate

Receive and place call as necessary to resolve insurance / patient claims while maintaining the highest level of professionalism

Other duties as assigned.

Qualifications :

Previous physician office / hospital billing experience required (

5-year

' experience

preferred

Must have strong working knowledge

of

Texas Medicaid, Medi-Cal,

anage

are and

ommercial Plans

Experience in medical terminology, ICD

9 coding, CPT codes, UB

04

and 1500 claim forms

Must be

highly

proficient in Microsoft Excel.

Ability to self-manage work volume, partner with co-workers as needed, and multitask

Compliance with all billing related HIPAA policies

, along with internal policies / procedures

Excellent verbal and written communication skills

Satisfactory drug screen and criminal background check

enefits : Competitive salary

Comprehensive benefits package including medical, dental, vision and 401(K)

Generous paid time off

accrual

Excellent growth and development opportunities

Satisfying and rewarding work striving to overcome the opioid epidemic

Here is what you can expect from us :

BayMark Health Services,

a progressive substance abuse treatment organization, is committed to the highest quality of patient care in a comfortable outpatient and inpatient clinic setting.

Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life.

BayMark Health Services

is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran's status or any other classification protected by State / Federal laws.

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