Billing Specialist

Job Details

Description

At Axia Women’s Health, recognized as aGreat Place to Workfor a 3rd year in a row, our vision is to lead the way in improving women's health.

At the core of achieving this is a caring, connected, and progressive community of over 400 providers across nearly 200 women's health centers in New Jersey, Pennsylvania, Indiana, Ohio, and Kentucky.

The rapidly growing network spans OB / GYN physicians, breast health centers, high-risk pregnancy centers, two laboratories, urogynecology care, and fertility centers.

Together, Axia Women's Health puts women first by delivering the personalized care needed for women to lead healthier, happier lives.

We have an opportunity for a Billing Specialist (Behavioral Health) to work remotely (IN, KY, OH, NJ, PA highly preferred).

The Billing Specialis t is responsible for managing the complete billing cycle, including claims submission, reimbursement, and collections for behavioral health services.

This role requires detailed knowledge of behavioral health billing codes, insurance claims, and patient account management to ensure accurate and timely revenue collection.

Responsibilities :

• Explains financial requirements to patients, collects, and records copayments as required.
• Performs registration functions for new and existing patients and activating patient files, ensuring proper registration, and provides guidance to Patient Coordinators on proper registration.
• Prepares billing information and supporting the accuracy and efficiency of the billing process.
• Submits accurate and timely behavioral health claims to insurance companies.
• Based on clinical documentation, ensures proper use of CPT, ICD-10, and HCPCS codes for behavioral health services by reviewing and verifying coding accuracy before claim submission.
• Conducts follow-up on unpaid claims, resolves denials, and reprocesses claims when necessary.
• Communicates with insurance companies for clarification and resolution of claims issues.
• Takes appropriate action with delinquent accounts.
• Interprets explanations of benefits.
• Conducts AR audits and write-off audits.
• Completes payer project assessment and follow-up.
• Provides exceptional customer service by promptly responding to emails and resolving projects in a timely manner.
• Completes revenue cycle management workflow and policy training.
• Reconciles accounts.
• Stays up to date with state and federal regulations, insurance requirements, and changes in behavioral health billing guidelines.
• Monitors accounts A / R and maintains accurate records. Provides regular reports to management regarding A / R status, billing challenges, and potential solutions.
• Acts as liaison with third-party Behavioral Health partner, providing necessary reporting and appropriate guidance. Addresses documentation gaps or billing issues that may delay reimbursement.
• Performs other revenue cycle management duties as assigned.

Skills :

• Ability to close insurance claims and generate revenue for the organization.
• Ability to maintain confidentiality when dealing with secure records.
• Demonstrates professionalism, a high-quality of work, goal attainment, productivity, persistence, engagement with patients, and confidence.
• Exceptional attention to detail.

Education & Experience :

• High school diploma or general equivalency diploma (GED) required. Associates degree or completion of an accredited certification program highly preferred.
• AAPC certification a plus.
• Minimum 1-year recent experience in Behavioral Health medical billing.
• eClinical Works (eCW) ER experience a plus.

Benefits :

• Full-time benefit eligibility with benefits beginning the first of the month after starting with choice of multiple medical insurance plans to best meet your needs.
• Additional insurance options including dental, vision, supplemental life insurance, FSA, HSA w / employer contribution, identity theft, long term care, pet insurance and more!
• 401(k) matching!
• Generous PTO offering with additional time off for volunteering.
• Access to Axia providers at little to no cost through Axia’s medical insurance.
• Axia-paid life insurance, short-term and long-term disability.
• Free counseling for colleagues and family members, including parents and parents-in-law.
• Access to discounts on Hotels, Theme Parks, Gym Memberships, and more through the Great Works Perks Program

At Axia Women’s Health, we’re passionate about creating a community where our colleagues and patients feel empowered to be their full, authentic selves.

We welcome all individuals without regards to gender, race, ethnicity, ability, or sexual orientation and proudly celebrate our individual experiences and differences.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.

Applicants must be currently authorized to work in the United States on a full-time basis.

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