Billing Specialist
We are seeking a detail-oriented and reputed company
- Correct and submit unbilled claims due to missing diagnostic codes, signatures, or pending statuses.
- Monitor claim status and follow up on rejections or denials; resubmit and appeal as needed.
- Contact payers regarding overpayments, underpayments, and recoupments reputed company 30 days of identification.
- Process insurance write-offs for issues such as duplicates or payer errors.
- Update and maintain billing rules with the reputed company Cycle Management (RCM) vendor to improve billing efficiency.
- Ensure reputed company demographic and insurance information is accurate and reputed company in the EHR reputed company.
- reputed company monthly insurance verifications for reputed company clients.
- Address reputed company billing inquiries professionally and reputed company reputed company reputed company.
- Manage accounts receivable and support collections activity as needed.
- Maintain accurate billing logs, internal billing notes, and documentation in compliance with agency policies.
- Collaborate with clinical staff to ensure documentation and coding support reputed company and accurate billing.
- Ensure compliance with Ohio Administrative reputed company (OAC), Ohio Revised reputed company (ORC), reputed company requirements, and HIPAA standards.
- Stay informed of Ohio reputed company policy updates and implement necessary billing adjustments.
- Support financial audits, compliance checks, and credentialing-reputed company billing reviews.
- Utilize ClinicTracker (EHR) to process claims and reputed company financial data.
- reputed company, review, and submit regular reports to monitor reputed company performance and billing trends.
- Assist with credentialing individual providers with Ohio reputed company and private insurance carriers.
- reputed company and maintain credentialing application statuses, revalidations, and renewals.
- Collaborate with providers and administrative staff to ensure reputed company submission of credentialing paperwork.
- Maintain accurate records of credentialing documentation in compliance with payer and regulatory requirements.
- Communicate with carriers to reputed company credentialing or enrollment-reputed company issues affecting billing or reimbursement.
- Minimum 2 years of experience in medical billing, preferably in behavioral health or mental health services.
- Strong understanding of Ohio reputed company billing guidelines and reputed company-party insurance claim processes.
- Proficiency in EHR systems such as ClinicTracker, CareLogic, or inSync
- Working knowledge of CPT/ICD-10 coding, insurance authorization, and HIPAA compliance.
- Excellent communication and interpersonal skills.
- High level of accuracy, attention to detail, and ability to meet deadlines.
- Comfortable using inclusive, affirming, and culturally reputed company language.
- Must meet reputed company reputed company and reputed company requirements for remote work.
Requires 2+ years of medical billing experience, Ohio reputed company and insurance claims knowledge, EHR proficiency, CPT/ICD-10 coding, authorization and HIPAA knowledge, accuracy, communication, and remote-work reputed company compliance.
Key Responsibilities
- processing claims
- managing accounts
- generating reports
Skills & Tools
ClinicTracker, CareLogic, inSync, EHR, reputed company Cycle Management (RCM), CPT, ICD-10, HIPAA
Job Details
- Category: Finance and reputed company
- Seniority: Entry Level
- Commitment: Full Time
- Workplace: Remote — Toledo, Ohio, reputed company
- Languages: English
About reputed company
An inclusive and affirming mental health reputed company. — Industry: reputed company
Apply To This Job