Medical Billing Specialist in Carlsbad, CA at Acadia Healthcare

Date Posted: 6/18/2018

Job Snapshot

Job Description

Overview

This position, under the supervision of the Billing Office Supervisor, is primarily responsible for the billing and collection activities of Acadia Healthcare, including appeals, denials, denial resolution and follow up, data entry, prior authorizations and eligibility, and accounts receivables. 

Responsibilities
  • Ensure all insurance companies and governmental entities are billed accurately and in a timely manner using the correct forms, policies and procedures.
  • Claim appeals and denial resolution
  • Extensive claim denial follow up
  • Prior authorization and eligibility
  • Accounts receivable
  • Ensure accurate entry of work into designated billing systems.
  • Review EOBs to ensure appropriate payment and the ability to resubmit claims to obtain correct payment.
  • Obtain all necessary information from clinics required for billing.
  • Identify accounts that require follow-up.
  • Review and mail or electronically submit all claims.
  • Other Job related duties

Job Requirements

Position Requirements

  • Experience in billing, accounts receivables, payment posting rejections or denials required; centralized billing office experience highly preferred
  • Claim denial follow up and appeals experience
  • Experience in Medical Billing or claims processing is preferred
  • Accounts Receivable, Revenue Cycle, Payment Posting experience highly preferred
  • Must have strong knowledge of insurance, eligibility and prior authorizations 
  • Possess strong organizational and follow up skills
  • Strong Knowledge of Excel
  • Ability to work under deadlines
  • Ability and willingness to work as part of a team.
  • Familiarity with ICD-10, HCPCS, CPT coding, HCFA 1500 & UB-04
  • Strong oral and written communication and interpersonal skills
  • Ability to prioritize and multi task a large work volume with a high level of efficiency and attention to detail
  • Dependable and able to work independently