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Behavioral Health Billing Specialist

Compensation: $21 - $26.44/Hour

This position is responsible for processing behavioral health claims and maintaining behavioral health credential records.
Date posted: 06/21/2024

What You'll Do

Primary Responsibilities

  • Review and submit insurance or reimbursement claims for substance use providers and program staff
  • Correct failed/denied claims and resubmit.
  • Coordinate with the Behavioral Health Administrator and process reimbursement payments and provide reports for the accounting department.
  • Verify Medicaid eligibility for clients
  • Submit and maintain authorizations for services.
  • Act as an administrator on various claims portals such as CIM, OneHealthPort, Office Ally, and MOTs.
  • Other duties as required.

General Responsibilities

  • Assist with maintaining provider credential records.
  • Assist new providers with NPI, Medicaid, and CCO registrations, as needed.
  • Provide updated provider rosters to CCOs as required.
  • Act as backup for mental health billing claims.
  • Track the monthly Verify/Comply lists: add or delete staff from the roster, correct register
  • Follow the protocol, policies, and procedures of the department and agency.
  • Maintain accurate documentation on a consistent basis.
  • Complete and submit reports as needed.
  • Maintain confidentiality of client information and comply with HIPAA guidelines.
  • Provide culturally responsive services that are equitable, respectful, and relevant to people from a wide variety of cultures, backgrounds, and orientations.
  • Attend meetings and trainings as required.
  • Regularly participate in professional development.

Who You Are

Education and Experience

  • High school diploma or equivalent plus 1 – 2 years of office/administrative experience.
  • Experience with an Electronic Health Records system is preferred.

Skills and Abilities

  • Required to consistently enter data accurately.
  • Attention to detail.
  • Problem-solving skills to identify, research, and resolve moderately complex issues.
  • Complete tasks within an assigned deadline.
  • Able to build and maintain rapport with people from diverse backgrounds and personalities.
  • Ability to establish priorities, work independently, and proceed with objectives without supervision.
  • Have effective and flexible communication skills.
  • Ability to interact with colleagues, supervisors, and customers face to face, online, and on the phone.
  • Maintain confidentiality.
  • Skill in using a personal computer and various software packages.
  • Able to meet consistent attendance.

Share Your Qualifications

To express your interest in this position, follow these steps:

  • Prepare your resume and cover letter highlighting your qualifications.
  • Upload your resume and cover letter in DOC, DOCX, PDF, or TXT format through the form below.
  • Review your submission for accuracy before clicking submit.
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