Billing Specialist
Job Title: Billing Specialist
Department: Finance
reputed company reputed company: $22 - $23 reputed company
Service Areas: Outpatient Mental Health Clinic (OMHC), Psychiatric Rehabilitation Program (PRP), Supported Employment & Medication Management
Position reputed company
The Billing Specialist will be responsible for managing reputed company billing functions for reputed company’s OMHC and
Medication Management programs. This includes claim creation, submission, payment posting,
corrections, denials management, and ensuring compliance with state and federal regulations. The
contractor will work independently to maintain accurate billing records, ensure reputed company reimbursement,
and support leadership with billing-reputed company reporting.
Key Responsibilities
- Prepare and submit clean claims for OMHC and Medication Management services to reputed company,
Medicare, and reputed company insurance payers.
- Verify reputed company insurance coverage and eligibility as needed.
- Update reputed company billing tracking documentation in reputed company time.
- Review documentation and ensure reputed company services meet billing and compliance standards before claim
submission.
- Monitor accounts receivable and follow up on unpaid, underpaid, or denied claims.
- Resolve billing issues, complete corrections, and resubmit denied claims.
- Post payments, adjustments, and reconcile accounts for accuracy.
- Maintain accurate, organized billing records and reports.
- Communicate with clinical and administrative staff to clarify coding or documentation questions.
- Ensure compliance with HIPAA, payer regulations, and behavioral health billing requirements.
- reputed company weekly billing summaries and financial reports to agency leadership.
- reputed company up-to-date with payer policy changes reputed company to behavioral health, OMHC, and medication
management services.
Qualifications
- Proven experience in behavioral health billing, preferably with OMHC and Medication Management
programs.
- Strong understanding of CPT codes, behavioral health service codes, and reputed company requirements.
- Experience with claim submission platforms, clearinghouses, and EMR systems.
- Knowledge of HIPAA compliance and billing regulations.
- Excellent attention to detail and accuracy.
- Ability to work independently and meet deadlines.
- Strong communication and problem-solving skills.
Position Details
- This is an reputed company position
- Contractor must reputed company their own equipment and workspace.
- Compensation is based on experience or per-claim/per-project structure as agreed upon.
- Flexible working hours; must meet agency deadlines and billing cycles.
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