Job Description
Job Description
Reports to : Director of Mental Healthcare
Position Overview :
The Medical Billing coordinator manages all insurance verification, coding & charge capture, & oversight of the third-party billing for an LGBTQIA mental healthcare outpatient practice. This role ensures accuracy & timeliness in all aspects of the revenue cycle management process.
Job Duties & Responsibilities :
- Manage patient billing and work with vendors to conduct insurance verification, eligibility, & benefits before each visit
- Ensure all prior authorization is complete before delivery of counseling services
- Verify all insurance plans to ensure provider participation & insurance details
- Manage processes & workflows to ensure efficient & accurate billing and collections
- Confirm coding of billed services before submission to the billing service or clearing house
- Post & track patient statements and payments
- Serve as a liaison to third-party billing service, including oversight of billed charges, denials, appeals, payments, and postings
- Coordinate the practice's billing, reporting, and collection needs in conjunction with clinic staff, agency partners, and outside vendors
- Assists in retrieving provider encounter notes to support billing charges when needed
- Assist patients in understanding insurance benefits and patient financial responsibilities before services are rendered
- Ensure workflow and standard operating procedures are documented and maintained.
- Work with practice leadership to identify areas of improvement
- Model high-level of service and professionalism for internal and external customers
- Other duties as assigned
Job Requirements & Qualifications :
High School Diploma required; college education preferred.Two years of experience in insurance verification and billing in a comprehensive and specialty care environmentCertification in coding and billing with experience in eClinicalWorks is preferredExperience in mental healthcare insurance verification, billing, and codingProficiency in MS Word, Excel, and OutlookStrong time management skills with attention to detailExcellent written and oral communication skills with technical and business acumenKnowledge of insurance reimbursement, medical terminology, ICD-10, and CPT codingPowered by JazzHR
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