Billing Support Specialist

Job Posting

The expected salary range for this position is based on several factors including market, funding, candidates experience level, skills, schedule, training, relevant degree and related knowledge. Our ranges are developed and published as good faith estimates for the position.

Salary Range: $19-24/hour | Office benefit package (Parking/Remote Expenses)

This role is a Monday - Friday 7am-3pm or 8am - 4pm.

RADIAS Health is a nonprofit Mental Health & Substance Use Disorders services organization customizing community based services through the integration of knowledge, compassion, and collaboration. We are committed to being an anti-racist organization, welcoming all people's lived experiences and building on strengths to facilitate recovery.

The Billing Support Specialist role provides assistance to the Finance Department & Billing Specialist. This position will provide professional, quality customer service when interacting with insurance companies and staff employed at the organization. The Billing Support Specialist will bill insurance companies and patients for all services provided at the organization. This position will pursue collection of all claims until payment is made by insurance companies and will perform other work associated with the billing process.

Duties and Responsibilities:

• Maintain an updated billing and benefit changes for all patients and third-party insurance carriers.
• Prepare and process clean claims to various insurance companies for various patient insurances, including specific restrictions or groups.
• Assist in auditing, error correction, and preparation of behavioral health billing in RADIAS Health's current electronic health record software.
• Process and reconcile payments and overpayments from various insurance companies.
• Report and maintain accurate documentation of company revenue for assigned programs.
• Review and follow-up on denied claims, resubmitting claims to third party payers and advocate for payment.
• Prepare and request paperwork for prior authorizations for services provided.
• Prepare, review and send patient billing statements.
• Performs various collection actions including contacting patients by phone and mailing out invoices.
• Maintain competencies in software and websites for the agency's current electronic health record, state provider portals, and insurance provider portals.
• Considers patient's financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.
• Working knowledge of RADIAS Health programs
• Maintains strict confidentiality and adheres to all HIPAA guidelines/regulations.
• Complete all paperwork, reports, and charting contemporaneously and in an organized manner.
• Participate actively in on-going professional growth and development; maintain appropriate professional behavior and participate in appropriate supervision
• Participate in administrative staff meetings and attend other meetings and seminars.
• Maintain a pattern of regular work hours to meet program needs as determined by the Program Manager.
• Other duties as assigned