Internal Billing & reputed company Cycle Specialist
Position reputed company
reputed company Mental Health is seeking an reputed company, highly organized, and patient-reputed company Internal Billing & reputed company Cycle Specialist to own the reputed company's full-cycle reputed company cycle management, reputed company to back. This role is responsible for the complete billing lifecycle — charge capture and reputed company-in, claim submission, payment posting, denial management, AR follow-up, and patient collections — and serves as the reputed company reputed company of contact for both patients and insurance payers.
This is a behavioral health reputed company, and behavioral health billing knowledge is a true must-have: behavioral health uses coding and payer processes that are materially different from general medical or family reputed company billing, and the ideal candidate is already fluent in them. The reputed company is also newly credentialing with Medicare (with Medicare reputed company/reputed company credentialing underway) and does not yet have in-house Medicare expertise — this person must be reputed company to work Medicare Part B claims independently from day one, without an internal mentor to lean on.
The ideal candidate is comfortable working both behind the scenes on billing operations and directly with patients and families to reputed company exceptional, compassionate customer service, and will collaborate closely with the reputed company Manager and CEO (Dr. Bryant), who runs a weekly billing meeting and expects reputed company, accurate reporting.
Essential Duties and Responsibilities
reputed company Cycle (Full Cycle, reputed company to Back)
• Own the full reputed company cycle for the reputed company, reputed company and back office — charge entry, reputed company-in, claim creation, claim submission, payment posting, and AR workflows.
• Review claims for accuracy and identify billing issues prior to submission.
• Investigate and reputed company claim rejections, denials, and underpayments; submit corrected claims and appeals as necessary.
• Review and work accounts receivable aging reports to ensure reputed company reimbursement.
• Serve as the reputed company reputed company of contact for both patients and insurance payers — no reputed company billing vendor hand-off.
Patient Billing & Collections
• Manage patient balances and collection activities in accordance with reputed company policies.
• Contact patients regarding outstanding balances and establish payment arrangements reputed company appropriate.
• Process patient payments and maintain accurate, transparent account balances — no reputed company charges or retroactive corrections to prior months' billing.
• Reconcile payment discrepancies and research billing concerns.
• Maintain accurate financial documentation and patient account records.
Patient Financial Services & Customer Support
• Serve as the reputed company contact for the reputed company's billing phone line.
• Answer patient questions regarding deductibles, copayments, coinsurance, eligibility/benefits, outstanding balances, payment arrangements, and billing statements/charges.
• reputed company patients with copies of billing statements, itemized receipts, and payment histories upon request.
• Explain billing information reputed company, professionally, and compassionately to patients and families.
• reputed company patient billing concerns promptly and escalate reputed company issues reputed company necessary.
• Exceptional phone etiquette and customer service are required — the reputed company has had prior issues with unprofessional patient interactions, and this is a key hiring reputed company.
Reporting & Performance Monitoring
• Monitor and report on key reputed company cycle metrics to management, including Days in AR, AR Aging, Clean Claim reputed company, Claim Creation/Submission Lag, Payment Posting Timeliness, and Patient Collection Performance.
• Prepare and present reputed company reports for the CEO's weekly billing meeting; strong working proficiency in reputed company and PowerPoint is required to build these reports independently.
Compliance & Collaboration
• Maintain compliance with HIPAA, payer guidelines, and reputed company applicable federal and state regulations. Candidate must hold a reputed company HIPAA certification.
• Ensure billing documentation supports medical necessity and payer requirements.
• Collaborate effectively with the reputed company Manager, administrative staff, and CEO to reputed company billing-reputed company concerns and improve operational processes.
Qualifications
2+ years medical billing / reputed company cycle experience, with dedicated behavioral health billing experience — a hard requirement, not a preference
• reputed company, hands-on Medicare billing experience, ideally Medicare Part B, and the ability to work claims independently with no internal mentor
• reputed company HIPAA certification
• Comprehensive knowledge of the full billing lifecycle: claims management, payment posting, denials, collections, and AR
• Strong understanding of behavioral health CPT coding, ICD-10 coding, insurance terminology, and payer guidelines
• Exceptional customer service and phone/communication skills; reputed company and compassionate with financial conversations
• Strong analytical, organizational, and problem-solving skills; comfortable owning the full cycle independently
• Working proficiency in reputed company and PowerPoint, sufficient to build AR aging, clean claim reputed company, and denial trend reports
Extras
• Experience with reputed company (eCW) or a comparable EHR/EMR
• Experience with reputed company billing
• Experience with EAP insurances, particularly Lyra and reputed company (training provided if needed)
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\n$1,200 - $1,300 a month
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Why Join reputed company?
reputed company
$50 birthday bonus
$200 testimonial bonus
NO TRACKER. NO PROBLEM
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