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Billing Specialist

The Bridge

Description

The Bridge, an innovative and well respected mental health agency serving adults with serious mental illness, substance abuse, co-occurring mental health and substance abuse disorders, and co-morbid medical conditions is seeking a Billing Specialist to join its elite team.

Position Essential Responsibilities:

Ensure all claims are submitted with a goal of zero errors; verifies completeness and accuracy of all claims prior to submission; accurately Post all insurance payments by line item; timely follow up on insurance claim denials, exceptions or exclusions; ability to meet deadlines; reading and interpreting insurance explanation of benefits; respond to inquiries from insurance companies, patients and providers; regularly meet with supervisor to discuss and resolve reimbursement issues or billing obstacles; regularly attend monthly staff meetings and continuing educational sessions as requested; full review and follow up of exceptions, errors or rejections from clearinghouse batches
EOB and ERA review and processing; reconcile EOBs, EPAs and ERAs to claims submitted; review and follow up of insurance denials: resubmission with or without corrections where necessary; working directly with insurance company and healthcare provider to get claims processed and paid; reviewing and appealing unpaid and denied claims; verifying patient’s insurance coverage and exceptions; update Accumedic with client demographic data; follow HIPAA guidelines in handling patient information; other duties and responsibilities as required.

AA/EOE

Qualifications

Knowledge of OMH clinic regulations and procedures
Not-for-Profit and Behavioral Health; general competence with computer systems; knowledge of Practice Management Systems, NYS ePaces/ eMedNY systems; Interpersonal skills required for effective communication/troubleshooting with program personnel and insurance plan contacts; knowledge of Medicaid, Medicare and federal and state 3rd party billing regulations

Salary

Competitive

Contact

Please submit resume and cover letter to:

Yvonne Harley, Billing Director

E-mail: yharley@thebridgeny.org

Posted on 11/13/17; CVMHA ID #11565