Billing Specialist I in Providence, RI at Acadia Healthcare

Date Posted: 11/13/2019

Job Snapshot

Job Description

Overview

The Acadia Healthcare Comprehensive Treatment Center (CTC) division, is looking for an experienced Medical Biller for our Billing Office in Providence, RI.

About our Comprehensive Treatment Centers:

Our Comprehensive Treatment Centers, providers of care that offer the treatment men and women need to overcome opioid abuse problems, are the answer to this overwhelming need for effective care and can be the solution that you or your loved one has been searching for.

Our Mission:

Our mission is to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioral health and addiction disorders.

To our clients, we are committed to the creation of behavioral health centers where people receive individualized and quality care that enables them to regain hope in a supportive, caring environment.

To our employees, we are committed to offering an enviable internal culture and environment that encourages and supports both professional and personal growth that you are proud of.

Position Characteristics 
Under the supervision of the Billing Manager, the Medical Biller is primarily responsible for completing the billing activities of Acadia Healthcare. The right candidate will possess a strong knowledge of medical claims submission, in an office that uses more manual systems than automated. Must have the ability to work efficiently both independently and as a team, with the foresight to assure all information on claims is correct and clean. The CBO is a fast paced environment and staff must be committed to producing the highest quality of work. Looking for someone with an outgoing and “can do” attitude. Candidate should be self-motivated and up for the challenge of getting the job done.

Responsibilities

Billing Specialist Responsibilities

  • Bill and post revenue payments/charges to patient’s accounts and insurance payors
  • Review and audit patient bills for accuracy and completeness and obtain any incomplete or missing billing information
  • Obtain authorizations as appropriate.
  • Ensure verification of eligibility and payor benefits
  • Prepare, review, and transmit claims using automated systems and manual paper claim process
  • Knowledge of insurance guidelines, including HMO, PPO, Medicare, and state Medicaid
  • Follow up on unpaid claims within specified billing cycle timeframe
  • Validate insurance payment for accuracy and compliance based on contractual terms
  • Evaluate and investigate payor matters for any discrepancy in payments as necessary
  • Identify and bill secondary payors
  • Follow-up on all accounts with payor or patient
  • Follow-up on payor specific appeals and denial of claims.
  • Respond to all patient or insurance telephone inquiries to ensure timely reimbursement.
  • Update cash spreadsheet, generate collection reports and ensure compliant collection efforts interpreting the explanation for benefits (EOB)
  • Other duties as assigned

Job Requirements

Position Requirements

  • 1+ years of medical billing experience preferred
  • High school diploma or equivalent
  • Experience billing professional and physicians’ charges to insurance companies
  • Experience reading electronic claim files
  • Knowledge and competency to use medical claims clearinghouse system 
  • Possess strong organizational and follow up skills.
  • Proficient with Microsoft Office products (Excel and Word)
  • Familiarity with HCFA 1500 & UB-04