We’re looking for someone with extensive medical billing experience who already knows Athena well. Mental health billing experience would be a big plus. In this vital role, you will be responsible for managing the entire billing process, ensuring accurate and timely submission of claims, and facilitating smooth communication between healthcare providers, insurance companies, and patients. Your expertise will help optimize revenue cycles while maintaining compliance with industry standards. This position offers an exciting opportunity to contribute to quality patient care through efficient financial operations.
Responsibilities
- Prepare and submit medical claims accurately using billing software and EMR/EHR systems, ensuring compliance with healthcare regulations.
- Review medical records and documentation to verify proper coding using CPT (Current Procedural Terminology), ICD-9, ICD-10, DRG (Diagnosis-Related Group), and ICD coding standards.
- Follow up on unpaid or denied claims through effective medical collection strategies and healthcare claims management.
- Collaborate with healthcare providers to ensure correct medical terminology and coding are applied for each patient encounter.
- Maintain detailed records of billing transactions, insurance correspondence, and patient accounts in accordance with privacy laws.
- Resolve billing discrepancies by communicating professionally with insurance companies and patients, providing excellent customer service.
- Stay current with updates in health insurance policies, medical coding guidelines, and billing regulations to ensure ongoing compliance.
Skills
- Strong knowledge of medical coding including CPT, ICD-9, ICD-10, DRG classifications, and ICD coding standards.
- Proficiency in using billing software, Athena systems for efficient data entry and record keeping.
- Experience in medical office administration with a focus on medical records management and healthcare claims processing.
- Excellent understanding of health insurance processes, including benefits verification and claims adjudication.
- Exceptional customer service skills with the ability to communicate clearly and professionally with patients and insurance representatives.
- Familiarity with medical terminology and documentation requirements for accurate billing practices.
- Experience with TMS and Spravato Billing encouraged
Join us as a Medical Billing Specialist and play a crucial role in supporting our mission to deliver exceptional healthcare services through precise financial operations!
Skills Required
- Extensive medical billing experience
- Proficiency with Athena systems
- Knowledge of CPT, ICD-9, ICD-10, DRG, and medical coding standards
- Experience using billing software and EMR/EHR systems
- Experience with medical office administration and medical records management
- Experience with healthcare claims processing
- Understanding of health insurance processes, benefits verification, and claims adjudication
- Knowledge of medical terminology and documentation requirements
- Strong customer service and professional communication skills
- Mental health billing experience
- Experience with TMS and Spravato billing
