Billing Specialist – Remote

Harboroaks; Philadelphia (Philadelphia County); Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

401(k)

Great Insurance Plan

PTO Plan

Tuition Reimbursement

Job summary

Belmont Behavioral Health System is seeking a remote Billing Specialist to ensure accurate, timely documentation for insurance verification, billing and collections in behavioral health settings.

The ideal candidate has 3+ years of billing experience and strong knowledge of Commercial Insurance and Medicare/Medicaid. This role supports remote work across the United States with a focus on accurate claims processing and timely payments.

Qualifications

• High school diploma or equivalent required.
• Three or more years' experience in related field required.
• Extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid required.

Responsibilities

• Completes all third party electronic and manual billing timely and accurately in accordance with appropriate rules and regulations.
• Completes all payer specific edits identified through the billing system.
• Resolves issues associated with incomplete claims including follow up of non-transmitted claims.
• Submit adjustment claims to Medicare/Medicaid through use of online systems.
• Attaches appropriate documents when billing manual claims and or other medical records.
• Mails all manual claims to individual payers daily.
• Works all daily reports as assigned.
• Records daily productivity of claims billed and assures proper documentation in the notes of the patient accounting systems.
• Completes all monthly required in-services and educational training as required.

Skills

Billing experience

Insurance knowledge

Attention to detail

Education

High school diploma

Tools

Availity Pro

SSI

Job description

Overview

Belmont Behavioral Health System is a premiere provider of comprehensive treatment for mental health conditions and substance abuse problems. Having been in operation for over 75 years as one of the most prominent providers of behavioral healthcare treatment services, Belmont is proud to offer high quality and specialized programming options for children, adolescents, adults, and older adults who are suffering from psychiatric concerns and chemical dependency.

Belmont curretly has an opening for a remote Billing Specialist. The billing specialist is responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections.

In addition to this great opportunity, Belmont offers:

• 401(k)
• Great Insurance Plan
• PTO Plan
• Tuition Reimbursement

Responsibilities

ESSENTIAL FUNCTIONS:

• Completes all third party electronic and manual billing timely and accurately in accordance with appropriate rules and regulations.
• Completes all payer specific edits identified through the billing system
• Resolves issues associated with incomplete claims including follow up of non-transmitted claims.
• Submit adjustment claims to Medicare/Medicaid through use of online systems.
• Attaches appropriate documents when billing manual claims and or other medical records.
• Mails all manual claims to individual payers daily.
• Works all daily reports as assigned.
• Records daily productivity of claims billed and assures proper documentation in the notes of the patient accounting systems.
• Completes all monthly required in-services and educational training as required.
• Experience with Behavioral Health, including CBH, CCBH preferred
• Experience with SSI and / or Availity Pro preferred

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High school diploma or equivalent required.
• Three or more years' experience in related field required.
• Extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid required.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Not applicable

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