Behavior Health Biller for Addictions detox (Experience is required )
International Pediatrics
- Rockville, MD
- $21.00-24.00 per hour
- Permanent
- Full-time
- 401(k)
- Competitive salary
- Dental insurance
- Health insurance
- Paid time off
- Competitive Compensation
- Great Work Environment
- Career Advancement Opportunities
- Review clinical documentation from EMR billing reports for accurate and complete diagnostic and procedure information.
- Proven experience as a Billing Specialist or Accounts Receivable Specialist, with a strong preference for experience in mental health or behavioral health settings.
- Review all departmental billing guides, payer rules, and any changes to billing guidelines.
- Maintain current working knowledge of Medicaid billing regulations and requirements.
- Prepare clean claims to be sent to insurance companies electronically
- Prepare electronic claims on a UB04 or CMS 1500 format
- Actively works in the Utilization Review if an issue with a patient's authorization is presented
- They may be required to request diagnosis or other data from providers when not recorded in the clinical documentation in the EMR or if the information is incomplete.
- Determines the correct sequence of primary and secondary diagnoses according to provider documentation.
- Applies knowledge of ICD-10, CPT, HCPCS, and modifiers to all provider coding and billing assignments.
- Verify the completeness and accuracy of all claims before submission.
- Ensure claims are submitted with a goal of zero errors.
- Communicate with ARC facilities and other departments to assist with answering questions when needed.
- Consult supervisor, team members, and appropriate resources to solve billing questions and issues.
- High school diploma or GED
- Administrative experience preferred
- Previous Billing experience preferred
- Excellent communication and interpersonal skills
- Ability to work independently and collaboratively in a fast-paced environment