Billing Specialist

POSITION SUMMARY:The Billing Specialist is responsible for the accurate and timely processing of claims. Billing Specialist will maintain AR for assigned payers and report any ongoing issues to Billing Manager. Billing Specialist will be expected to reach out to payers when issues arise.DUTIES AND RESPONSIBILITIES:Managing payer and patient accounts receivablesWorking correction tickets for billings before or after payment has been receivedSubmitting claims electronically through Availity Revenue Cycle Management and other clearinghousesSubmitting secondary claims through Availity Revenue Cycle Management and preparing and mailing paper claimsMaking corrections to claims that have been scrubbed for errors in Availity before submittingWorking claim denials through CareLogicCalling payers to appeal denials and working closely with payer representatives to correct erroneous denialsAnswering client questions regarding account balancesData entryOther duties as assigned by the Revenue Cycle Manager or Billing SupervisorQUALIFICATIONS:High school diploma or equivalent is requiredPrior experience of 1 – 2 years in claims and billing preferredBilling or administrative experience in the Developmental Disabilities and/or Behavioral Health (Mental Health and Substance Use) field is preferredMicrosoft Office/Excel is requiredAvaility, KY Medicaid, software experience is helpfulComprehensive knowledge of ICD-10, CPT, and HCPCS codingJOB REQUIREMENTS / EXPECTATIONS:Successful candidates must possess good oral and written communication skills as well as the ability to multitask and work efficiently in fast-paced environment. Must pass a legally required Criminal Record Check and a Sexual Offender Registry check.Must be able to work in a group setting with other billing specialists.The applicant hired into this role will be evaluated against company and department goals, objectives, and performance factors annually.CORE VALUES:All employees must be willing to live our company's core values.Integrity – Exhibiting the highest moral, ethical and legal standards. Doing the right thing – even when no one else is looking.Teamwork – Putting team success over personal success. Actively valuing the strengths and talents of others.Trust/Respect– Seeing and believing in the good intentions of others. Interacting with others in a way that makes them feel valued. Listening without judging. Offering understanding and acceptance.Care/Compassion – Demonstrating unconditional kindness, concern and empathy. Exhibiting genuine concern for others.Ownership/Accountability – Taking personal responsibility for one’s work, actions and feelings. Accepting responsibility for and learning from mistakes. #J-18808-Ljbffr