Insurance and Billing Specialist

Description

The Insurance & Billing Specialist position serves as a key role in improving the overall effectiveness of revenue cycle collections. The applicant will need to have an extensive background in the submission of claims to third party payers & an understanding of making corrections to maximize cash flow in a healthcare environment, preferably within community mental health. The applicant should also have a background working with electronic medical records (EMR) system software that is utilized to maximize correct third-party claim submission. Applicant will become a go-to resource for troubleshooting system issues that end users may have. 

Requirements

The job responsibilities include but are not limited to:  

•Responsible for proper and efficient setup of payer definitions within the EMR

•Responsible for proper setup of client insurance upon intake

•Credentialing of new staff with payers

•Responsible for review & process of claims in various stages of revenue cycle in a timely manner.

•Act as a liaison for clients with questions or issues

•Responsible for itemized patient statements

•Monitor work flow and recommend process/procedural improvements as needed.

•Maintain compliance with federal, state and local regulations, HIPAA and the Corporate Responsibility Program

Qualifications:

•Required: Minimum 5 years of experience working with third party payers (preferably community mental health environment or healthcare setting)

•Required: Minimum 3 years of experience with Excel

•Experience in claim follow-up in a healthcare practice environment preferred.

•Assist with EMR infrastructure as it pertains to claim submission & payment data entry

•Knowledge of Medicare and Medicaid regulations and other insurance guidelines

•Understanding credentialing of direct service staff with third party payers

•An understanding of healthcare billing to minimize the error rate in claim submission

Benefit Highlights:

•Competitive Pay 

•Supportive/Flexible work environment with high employee satisfaction rates

•Generous Paid Time off & Holidays

•Medical, Dental and Vision, Group Life, FSA, HSA, and 401K plan

Concord welcomes all to apply!