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Insurance Billing Associate

Company: Outreach
Location: Arlington
Posted on: January 12, 2022

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 companys revenues. You will handle the processing of incoming payments along with the issuing of necessary paperwork.

    • 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 information.

      • Health Care Plan (Medical, Dental & Vision)
      • Paid Time Off (Vacation, Sick & Holiday)
      • Life Insurance
      • 401Kby Jobble

Keywords: Outreach, Arlington , Insurance Billing Associate, Accounting, Auditing , Arlington, Virginia

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