** credentialing experience a plus
** collecting experience a plus
General Accountabilities
Determines appropriate charges based on services provided.
Reviews patient accounts to ensure accuracy and completeness of claims billing for maximum reimbursement.
Reviews explanations of benefits from third party payers to determine if payment was made correctly and if denials can be re-billed.
Analyzes and maintains reports to ensure timely submission of claims.
Identifies problem accounts requiring further work.
Provides information to insurance carriers or patients regarding patient accounts.
Assists patients with billing problems.
Notifies supervisor of ongoing problems.
Maintains files on all documentation such as charge slips, Explanations of Benefits, and client or patient information.
Prepares and distributes reports.
Refers accounts to collectors in accordance with policy.
Performs other related duties as assigned or requested.
*The company reserves the right to add or change duties at any time.
This job requires some experience working in a behavioral health setting. Triage, injections, assessments, prior authorizations of medications and vitals. Possible rotation of clinics. Full Time No weekends No Holidays.
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