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Insurance Billing Associate

Company: Outreach Recovery
Location: Silver Spring
Posted on: June 6, 2021

Job Description:

Outreach Recovery is a national leader in the treatment of substance use disorders. With over 20 facilities in the Mid-Atlantic region and growing, we are looking to continue our growth and bring on expert and dedicated team members to reach a population in desperate need. We are currently looking for a Insurance Billing Specialist to join our Mental Health team.General Duties and Responsibilties Enters information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information. Insures claim information is complete and accurate. Submits insurance claims to a clearinghouse or individual insurance companies electronically or via paper CMS-1500 form. Answer patient questions on patient responsible portions, copays, deductibles, write-offs, etc. Resolves patient complaints or explains why certain services are not covered. Follows up with insurance company on unpaid or rejected claims. Resolves issues and re-submits claims. Prepares appeal letters to insurance carriers when not in agreement with claim denials. Collect necessary information to accompany appeals. Prepares patient statements for charges not covered by insurance. Insures statements are mailed on a regular basis. May work with patients to establish a payment plan for past due accounts in accordance with provider policies. Provides necessary information to collection agencies for delinquent or past due accounts. Post insurance and patient payments using medical claim billing software. May perform soft collections for patient past due accounts. This may include contacting and notifying patients via phone or mail. For patients with coverage by more than one insurer, prepares and submits secondary claims upon processing by the primary insurer. Follows HIPAA guidelines in handling patient information. May periodically create insurance or patient aging reports using the medical practice billing software. These reports are used to identify unpaid insurance claims or patient accounts. Understands managed care authorizations and limits to coverage such as the number of visits. This is encountered often when billing for specialties. May have to verify patient benefits eligibility and coverage. Ability to look up ICD 10 diagnosis and CPT treatment codes from online service or using traditional coding references.We are looking for a competent Billing specialist to undertake a variety of financial and non-financial tasks in order to help guarantee the company s revenues. You will handle the processing of incoming payments along with the issuing of necessary paperwork.Requirements Behavioral Health/ Primary Care billing experience and familiar with Optum Medicaid and MD Physician's Care. High-level in using Excel and Microsoft suite. Problem-solver, assertive and attentiion to detail. Experience with Optum authorization, cash posting, and follow-up aging report. Ability to handle high claim volume and good organizational skills. New Jersey Billing and/or out-of state billing a plus, but not required. Coding certification a plus, but not required High degree of attention to detail and trustworthiness Proven experience as Billing Specialist Comfortable dealing with numbers and the processing of financial informationBenefits Health Care Plan (Medical, Dental & Vision) Paid Time Off (Vacation, Sick & Holidays) Life Insurance 401K plan

Keywords: Outreach Recovery, Silver Spring , Insurance Billing Associate, Other , Silver Spring, Maryland

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