Behavioral Health Billing Specialist

At Terry Reilly we are happy to provide integrated care through our medical, dental and behavioral health services making us a unique team to be a part of in the Treasure Valley. We believe a healthy community is a thriving community, and our success is a direct result of our mission-driven and talented team. It is important to us that our staff is given a healthy work-life balance, so we support and value your time in and out of the clinic setting. With an impressive benefits package for providers including free healthcare options and loan reimbursement grant opportunities, we hope you will consider joining our growing team! GENERAL RESPONSIBILITIES Collecting and posting insurance, patient, and vendor payments to patient accounts. Responsible for the billing and collection of selected TR contracts and agreements. ESSENTIAL DUTIES Manages patient information in practice management system as it relates to changes in patient's insurance coverage, including E-Med and Medicaid. Based upon verification of third-party insurance eligibility, transfer charges in the practice management system from one expected payor to another in order to generate accurate claims and statements. Makes adjustments as appropriate for OB accounts after delivery and/or due to patient transfer of care. Makes other changes to patient billing information as requested by patient or staff. Reviews third-party payor denials and determines appropriate course of action in order to collect on the account. Determines the reason for the denial and provides the insurer with the appropriate documentation for the claim to be paid. Follows-up with third party insurance carriers on unpaid claims until claims are paid or only self-pay balance remains. Monitors ticket statuses on a weekly basis to ensure problems in billing are identified in a timely manner, corrects the problems, rebills claims to payors. Tracks third-party payment amounts, pended claims numbers and amounts and has a general sense of payor denials to identify any potential cash flow problems with individual payors. Through tracking these trends can identify problems, successes or inconsistencies of the major medical and dental payors; Medicare, Medicaid, Blue Cross (medical and dental), Blue Shield and Delta Dental. Will successfully back up any position in the Patient Financial Services Department as needed. This will include but is not limited to third party payment posting, patient payment posting, contract billing for both TR and SANE, denials, account maintenance, OB package adjustments, hospital billing, return mail, refunds, etc. Prepares aging reports for all medical, dental, and behavioral health programs. Processes refunds on insurance credit balance accounts only after reviewing and verifying accuracy of account. Generates refund request if appropriate and submits to Accounting department. Posts refund transactions approved by accounting department to patient account. Handles patient and third-party carrier inquiries related to patient accounts. MINIMUM QUALIFICATIONS Ability to read and follow oral and written instruction. Must be able to use hands repetitively with good dexterity. Strong phone skills able to hear and speak clearly. Ability to work with minimal supervision and direction. Highly ethical and non-judgmental. Basic bookkeeping knowledge. Proficient With Microsoft Office products Ability to multi-task. PREFERRED QUALIFICATIONS One to three years of medical office experience. Medicaid Billing, Dental Billing, Epic experience, and insurance payment posting. Knowledge of diagnosis (ICD) and procedure (CPT) coding systems. Such knowledge is typically obtained from working in a medical office setting or through other educational background or experience. Terry Reilly Health Services is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected Veteran status.