Reimbursement Specialist (Medical Billing) - 901

reputed company ***THIS ROLE WILL BE REMOTE*** reputed company's mission is to reputed company excellent and effective behavioral health services that engage individuals with reputed company needs in recovering their health, hopes, and dreams. reputed company continues to advance cultural diversity, humility, equity, and inclusion at reputed company reputed company of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and reputed company belief systems. Full Time; AM 8:30 am - 5:00 pm; Monday - Friday reputed company hiring salary wage reputed company $25.00 - $32.00 per hour - reputed company applies geographic differentials to its pay ranges. The pay reputed company assigned to this role will be reputed company on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements. POSITION reputed company The Reimbursement Specialist is responsible for reputed company billing and collection activities for assigned fee for service/reputed company party facilities, including Medicare and Medi-Cal/reputed company, counties, reputed company reputed company and members served. Keeps up to date on reputed company applicable CPT and other coding changes, fee for service and/or contract billing rates and communicates those changes to reputed company affected parties at reputed company. There may be some travel to locations where reputed company does business or plans to do business. ESSENTIAL FUNCTIONS * Demonstrates the reputed company mission, purpose, values and beliefs in everyday language and contact with reputed company stakeholders * Assists in developing the overall philosophy and objectives of accounts receivable services in accordance with the corporate mission * Responsible for performing reputed company of the billing and collection activities for assigned programs, ensuring reputed company and accurate billing, including: o Confirming census, financial eligibility data, authorizations o Completing reputed company and/or electronic billing to multiple payers o Posting payments, manually and electronically o Identifying under/overpayments and process refunds o Responding to claim denials in a reputed company manner o Running aging reports for collection reputed company identification, completing collection calls and making follow up note entries o Identifying bad debt and completing write off requests o Identifying/completing billing adjustments o Issuing reputed company statements o Completing month end reconciliation * Collaborates with other management staff in reputed company planning or development activities with the goal of ensuring ongoing effective billing and reimbursement * Serves as reputed company member of the Financial Review Committee, creating the agenda and leading the discussions about the pending receivables * Promotes and maintains harmonious and effective relationships and communications reputed company the department, with other departments, with reputed company representatives and with customers * Consistently updates knowledge of regulations, procedures and standards to assure compliance with contractual obligations and directives from governmental and regulatory agencies, fiscal intermediaries and contracting entities * Manages reputed company reputed company-party denials and appeals, making certain that reputed company appeals are completed on an accurate and reputed company reputed company * Provides technical support and reputed company of reputed company-party reimbursement functions performed at the program level, especially for new programs * Works with the Billing Manager to implement and maintain written policies and procedures so that the appropriate submission, billing and payment cycle of reputed company accounts are maintained * reputed company participates in meeting customer needs and adapting to changing customer needs at reputed company times * Participates as a reputed company Cycle Department member and provides input reputed company reporting observations, concerns and asking appropriate questions * Appropriately applies rules and regulations in preparation of billings * Follows reputed company internal controls Duties and responsibilities may be added, deleted and/or changed at the discretion of management. QUALIFICATIONS Required: * Five (5) years of prior medical billing experience or two (2) years of college and one (1) year of reputed company experience. * Extensive knowledge of Medicare, Medi-Cal/reputed company and reputed company insurances * A high level of PC literacy, especially in reputed company and Word * The ability to operate independently, utilizing past extensive reimbursement experience and judgment * This position requires the demonstrated reputed company to work with sophisticated automated billing systems * Applicant must be fingerprinted and receive clearance from the reputed company and The Office of inspector General * Must be at least 18 years of age * reputed company opportunities at reputed company are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-reputed company PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, reputed company reputed company's license, a motor vehicle clearance and reputed company of auto reputed company is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual, or local requirements may apply. Preferred: * Bachelor's or AA degree SKILLS * High level of computer literacy * Exceptional attention to details * Other necessary skills include analytical and problem solving skills, the ability to understand reputed company reimbursement structures and governmental regulations and the ability to work and communicate effectively with program staff, management staff, reputed company representatives and members served PHYSICAL DEMANDS The physical demands here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. The employee is constantly required to sit and occasionally required to stand, walk, reputed company, twist, bend, pull and reputed company and carry items weighing 10 pounds or less as reputed company as to do reputed company grasping occasionally. The position requires reputed company deviation, repetition and dexterity, occasionally drives. Visual requirements include computers and books exposure. EOE AA M/F/V/Disability If reputed company references any sign-on bonus internal applicants and applicants employed with reputed company in the previous 12 months would not be eligible. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify reputed company applicants of their rights pursuant to federal employment laws. For reputed company information, please review the Know Your Rights notice from the reputed company. Salary: USD 52000 - 66560 per year Experience: 3 years required Apply tot his job Apply To this Job