Intercept Youth Services
  • Richmond, VA, USA
  • Full Time

Outpatient Billing Specialist

Full-Time/Hourly/Non-Exempt

Summary- provides support to the accounting team in all aspects of billing and collections for mental health services provided by the company.

EDUCATION AND/OR EXPERIENCE

At minimum 2-3 years of Medical Billing experience (Outpatient), Behavioral Health Experience a plus. Strong preference given to individuals with proven history of collections, electronic billing, posting payments, familiarity with relevant computer applications, including intermediate Excel experience.

MEDICAID BILLING

Daily:

  • Key in all charges, working closely with the office to balance out all copays posted to the client  account.by running a cash receipt report
  • Posting all EFT's received to the client account
  • Batching and submitting all claims through the clearinghouse for the previous day
  • Working any rejections in the clearinghouse and resolving any problems to resubmit the claim
  • Answer all calls from clients concerning their bill

Weekly: Check the schedule for the following week to verify insurance benefits, identifying any clients that need prior authorization and notifying the appropriate staff at the office. Making a notation on the schedule for the office staff of the copay and any balance due that needs to be collected upon check in.

Monthly: Generating and mailing monthly statements or collection letters as appropriate.

General Tasks & Duties:

  • Assist clientele and colleagues as able and appropriate.
  • Maintain confidentiality of all client information, program information, and financial information.
  • Work closely with the Office to assure all billing is done timely and accurately.
  • Communicating any concerns to the Billing Manager.
  • Work all A/R Reports.
  • Work all Claims denial reports, submitting any payer appeals as necessary. 
  • Identify and resolve any trends for non-payment of claims, communicating all issues to the Billing Manager
  • Identify and resolve all credit balances or refunds
  • Additional duties as assigned by the Billing Manager
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