Remote Billing Specialist

Therecoverycenterusa; Atlanta (GA); Remote; USD 45,000 - 75,000; Full time

Job summary

An established industry player in healthcare is seeking a Remote Billing Specialist to manage the revenue cycle effectively. This role involves submitting claims, processing payments, and ensuring compliance with billing regulations. Ideal candidates will have extensive experience in behavioral health medical billing, manual billing, and familiarity with Medicaid programs. Join a dedicated team where your skills will contribute to improving healthcare services. This position offers flexibility and the opportunity to work from home while making a significant impact in the healthcare billing sector.

Qualifications

• 3-5 years of experience in behavioral healthcare billing and collection practices.
• Proficiency in manual billing and understanding EDI files.

Responsibilities

• Submit claims, post payments, and conduct reconciliations.
• Resolve discrepancies with program managers and clinical directors.

Skills

Behavioral Health Medical Billing

Manual Billing

CPT Coding

ICD-9/ICD-10 Coding

Organizational Skills

Education

Bachelor's Degree

Tools

Medical Billing Systems/Software

Microsoft Office Suite

Google Office Suite

Job description

Join to apply for the Remote Billing Specialist role at The Recovery Center USA.

100% Remote position

The Recovery Center, LLC - Corporate Headquarters is looking for qualified candidates with experience in Behavioral Health Medical Billing to join our team. This position is responsible for submitting claims, posting payments & adjustments, rebills, EDI claim submissions, auditing claims, and conducting reconciliation.

Overall Responsibility For The Revenue Cycle Billing Specialist

• Determine billing inconsistencies, workflow discrepancies, and develop a work plan for corrections.
• Prepares and submits claims to multiple insurers for multiple locations.
• Process denied claims through resolving discrepancies with Program Managers and Clinical Directors.
• Prepare daily and weekly reports of billing.
• Obtain and post payments through EOBs to respective client files in the electronic health record.
• Understand how to read and interpret EDI files.
• Maintains confidentiality; adheres to all HIPAA guidelines/regulations.
• Other duties as assigned by Supervisor.
• MUST know how to manually bill.
• Must have experience with OH, KY & MD Medicaid programs.

Qualifications

• Previous medical billing experience along with knowledge of billing-related reporting; 3 - 5 years’ experience in Behavioral health-care billing & collection practices.
• Understanding AND Experience with manual billing.
• Experience working with medical payers such as Medicare, Medicaid, commercial insurances.
• Working knowledge of medical billing systems/software.
• Experience with Medicaid billing platforms.
• Working knowledge of CPT and ICD-9/ICD-10 coding systems; Coding certification preferred.
• BA/BS preferred.
• Excellent organizational skills.
• Proficiency in Microsoft and Google Office Suites.

Schedule

• 8am-5pm (Required)
• Monday to Friday (Required)

Ability To Commute/relocate

Remote position

Education

• Bachelor's (Preferred)

Experience

• ICD-10: 1 year (Preferred)
• Medical billing: 3 years (Preferred)
• Must have experience with OH, KY & MD Medicaid programs (Required)
• Knowledge of manual billing (Required)

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Accounting/Auditing and Finance

Industries

• Health and Human Services