Insurance and Billing Specialist

The Insurance & Billing Specialist position serves as a key role in improving the overall effectiveness of revenue cycle collections. The applicant will preferably have a 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 also be an important resource for troubleshooting issues that clients may have. 

The job responsibilities include but are not limited to:  

•Determination of client eligibility, including any need for prior authorizations

•Proper setup of client insurance within EMR upon client intake and insurance updates

•Review, process, and correction of claims in various stages of revenue cycle in a timely manner.

•Act as a liaison for clients with questions or issues

•Produce 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

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

Qualifications:

•Experience working with third party payers preferably in a community mental health environment

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

•Experience working with an EMR system and knowledge of payer definition and setup

•Knowledge of Medicare and Medicaid regulations and other insurance guidelines

•A basic understanding of direct service staff credentialing with third party payers as it relates to billing

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

•An ability to work both individually and as part of a team

•Experience with Excel preferable

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!