Medical Billing Technician Jobs

Associate's degree in accounting, business administration or a related field; two years of experience in processing electronic medical claims, preferably Behavioral Health and specifically related to billing for Intellectual Disabilities/Developmental Disabilities services; or an equivalent combination of training and experience. Familiarity with medical billing codes, Medicaid, Medicare, and commercial insurance carriers. Strong working knowledge of Microsoft Office, including Word, Excel, and Outlook. Strong attention to detail and the ability to work in a fast-paced, team-oriented environment with a focus on communication required. Pre-employment drug testing, FBI criminal background check, and education/degree verification required.

• Post claims payments; perform other work as required.
• Review zero payments, including denials, correspondence, etc.
• Meet productivity goals/benchmarks as set and communicated by A/R leadership.
• Verify insurance eligibility and confirm carrier’s policy for referral and authorization requirements, as needed for claim adjudication.
• Submit appeals and claim reconsideration requests in a timely manner.
• Serve as primary customer service representative for payer and consumer inquiries/calls.
• Research, correct, and resubmit or reprocess unpaid claims as necessary.
• Research and resolve denials and underpayments with insurance carriers.
• Work collaboratively with other A/R Billing staff, healthcare providers, insurance representatives and consumers as needed.
• Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes.
• Work aged receivables utilizing A/R reports or as assigned by Leadership.
• Research account balances for accuracy.
• Generate, review and submit electronic claims for various insurance carriers using EHR (Profiler software).
• Review and assess adjudicated claims for timely and proper payment of outstanding balances.

40 hours/week; Monday - Friday; 8:30 a.m. - 5:00 p.m.

Mental Health Support Services