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Behavioral Health Billing Coordinator

Behavioral Health Billing Coordinator

Salary: $50,000, plus competitive benefits packages

Hours: 37.5 hours per week

Location: Ronkonkoma, NY

Availability: ASAP

Position Description:

Position Summary:

The Behavioral Health Medical Biller will be responsible for checking client eligibility, reviewing reports, preparing monthly billing charts, the timely submission of behavioral health claims, follow-up on denials and all other tasks as they directly relate to all aspects of the revenue cycle.

 

Responsibilities:

  • Check eligibility and benefits verification for each client monthly
  • Process and manage multiple insurance reports to ensure accurate client insurance information is housed in the billing application(s) needed to secure payment from third party insurances
  • Obtain, update and maintain 3rd party authorization for multiple lines of service
  • Generate and review pre-billing reports for accuracy and completeness. Obtain any missing information and address/resolve discrepancies with program directors.
  • Prepare, review, and transmit claim batches using various billing software, including electronic and paper claim processing for payers such as Medicaid, Medicaid Managed Care and Medicare
  • Following up on unpaid claims within standard billing cycle timeframes
  • Identify and bill secondary or tertiary insurances
  • Communication with administrative staff, program directors, and insurance representatives in order to identify accurate insurance coverage and reconciliation of discrepancy in claims data/denials/payments if necessary
  • Researching and appealing denied claims
  • Contact and follow up with contracted insurance plans to reconcile delinquent client accounts
  • Export, merge and compile claims data from multiple systems, for reporting (i.e. CSV files & Excel)
  • Analyze data and perform data entry tasks related to the revenue cycle as needed
  • Follow all work processes, procedures, while maintaining compliance to the rules and regulations set forth by the agency
  • Strive to deliver high-quality results at all times in accordance with agency standards
  • Protect and keep all client information confidential
  • Actively improve job knowledge and skills by keeping up to date with insurance requirements/changes
Qualifications:
  • Must have a minimum of 3 years’ experience in medical or healthcare billing
  • 1 to 3 years’ experience billing Medicaid, Medicaid Managed Care and Medicare claims
  • Experience with the electronic and paper systems used in billing healthcare services.
  • Must exhibit excellent computer skills; ability to manage multiple systems as needed (Cerner, EPaces, Microsoft Word, Access, Excel and multiple E.H.R. platforms)
  • Must be a self-starter, exhibit above average critical thinking, attention to detail, communication and analytical skill
  • Strong organizational and time management skills
Application:

Please send completed employment application as well as your resume and cover letter to Kristi Bosco at: kbosco@mhaw.org or fax to (631) 676-6934.

Kristi Bosco
Association for Mental Health & Wellness

631-676-6934
kbosco@mhaw.org

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