Billing Specialist
Harbor
Make an impact beyond the numbers. Harbor's Billing Specialist plays a key role in ensuring mental health and substance use services remain accessible by managing claims, resolving denials, and supporting efficient revenue cycle operations. Join a mission-driven team where your work directly supports better outcomes for our community.
Position is full-time, 40 hours per week.REQUIREMENTS Education:
- Certificate in Medical Billing or an associate degree in business, healthcare, accounting, or closely related field required, or may substitute four years related experience in lieu of degree.
- Demonstrated knowledge and understanding of health/behavioral health billing procedures and eligibilities for third-party providers preferred.
- Previous coding experience in a behavioral healthcare setting preferred.
- Strongly prefer prior experience in customer service and behavioral health setting.
- Must have strong attention to detail and be able to communicate effectively with various individuals.
- Competent computer/PC skills using Microsoft Office 365, Excel, and electronic health record systems.
- Must be able to establish daily work priorities and work independently and efficiently to meet deadlines.
- Must be honest, dependable, self-disciplined, organized and be able to work well as a team member.
- Receives incoming questions from clients, payers and/or clinicians regarding client accounts; initiates data submission for any additional information needed, and interprets information back to the client, payer and/or clinician.
- Verifies insurance coverage, co-payment, and coordination of benefits and updates client billing information accordingly.
- Maintains current knowledge regarding public payers, third-party and first-party payment procedures and regulations.
- Monitors dashboard and runs reports routinely to monitor and initiate corrective actions as necessary to ensure accuracy and completeness of billing, service and charge information for timely submission.
- Monitors and completes paper correspondence follow-up from assigned payers in a timely and efficient manner.
- Investigates denials from payers and initiates timely follow up.
- Monitors aging and ensures timely filing and payment of claims.
- Identifies trends in claims denials and effectively communicates potential project opportunities for payer issues with Claims Coordinator.
- Participates in various aging clean-up projects when required.
- Keeps current with trends and developments related to essential job competencies and demonstrates continued growth.
- Office based environment.
- Ability to work independently while collaborating effectively as part of a team.
- Regular access to and handling of sensitive and confidential client, medical, and financial information in accordance with privacy and compliance standards.
- May encounter challenging situations involving behavioral health clients, crisis-related circumstances, or sensitive communications, requiring professionalism and sound judgment.
- A leading provider of mental health and substance use treatment for over 100 years.
- 350+ clinical staff serving over 24,000 clients annually across multiple locations and within the community.
- Services include counseling, medication management, primary care, psychological testing, case management, substance use treatment, residential services, vocational programs, and more!
- Medical, dental, and vision coverage
- Retirement plan with company match
- Generous paid time off, sick time, and paid holidays
- Tuition and professional license reimbursement programs
- Clinical supervision hours offered
- Opportunity to make a difference in your community!
For further information, please review the Know Your Rights notice from the Department of Labor.
Vacancy posted more than 2 months ago
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