Billing Specialist

Organization: Tellurian

Location: Madison, WI

Tellurian, a non-profit, behavioral health organization, has a full-time opening for a Billing Specialist to join our team. This position is Monday – Friday 8:00 AM – 4:00 PM. This position executes all aspects of Third Party Payer billing and financial tracking including claims submission, insurance follow up, posting insurance payments, reconciling and balancing accounts. This position has direct contact with patients and insurance companies to resolve coverage and/or denial issues. They are responsible for researching and analyzing payments to ensure accuracy and following up with the insurance company regarding any discrepancies.


Reasonable Accommodations Statement

Persons occupying this position must be able to perform all essential functions, with or without reasonable accommodation.
Essential Functions

  • Processing insurance payments to patient accounts in a computerized system
  • Submit claims for reimbursement to insurance carriers
  • Patient billing statements
  • Reading and interpreting insurance explanation of benefits
  • Ensuring timely follow up on insurance claim denials, exceptions or exclusions
  • Utilizing monthly aging accounts receivable reports to following up on unpaid claims aged over 30 days
  • Obtain and track authorizations
  • Incoming phone calls from insurance carriers and patients
  • Data Entry
  • Contacting patients regarding outstanding balances
  • Establishing payment plans to help patients manage the payment of bills
  • Sending delinquent accounts to collection agencies
  • Training appropriate personnel on the computerized billing system
  • Responding to patient billing and statement inquiries
  • Maintains confidentiality; adheres to all HIPAA guidelines/regulations
  • Making recommendations to management for write-offs
  • Cross training to cover for others as needed
  • Assists manager/supervisor with special projects as requested
  • Other duties as assigned, including research or administrative work, as needed

Qualifications

  • 3-5 years of previous medical insurance, billing, or claims processing related experience; prior behavioral health billing a plus.
  • Understanding of healthcare reimbursement practices.
  • Experience with Electronic Health Records systems a plus.
  • Understanding of Medicare, Medicaid, and commercial insurances.
  • Must have the ability to work both independently, and as part of a team.
  • Ability to provide exceptional customer service.
  • Ability to meet deadlines and work efficiently while maintaining accuracy.
  • Demonstrated attention to detail and thoroughness with office tasks.
  • Ability to prioritize multiple responsibilities.
  • Ability to pass a background check and drug screen, required.

Physical Requirements

  • Work environment is an office location. The position requires the dexterity to operate office equipment such as a personal computer, keyboard, mouse and telephone
  • Occasional lifting may be required up to 25 lbs.
  • Must be able to sit for extended periods of time with frequent bending and stooping

Benefits

  • Paid Time Off starting at 3 weeks (15 days) the first year, plus sick time and holiday time
  • Health, Dental, Vision, Short Term Disability, Long Term Disability, Flexible Spending, Basic and Supplemental Life Insurance available the 1st of the month following 30 days of employment
  • 401(k) participation following 6 months of employment; Tellurian offers a match up to 3%

Application Process:  All applicants are required to apply through the jobsinmadison.com website.

Position must pass a drug screen and criminal background check and be free of offenses prohibiting employment under HSF12 at the time of employment, and annually thereafter. .

Read the full article at: https://www.jobsinmadison.com/job/detail/41407476/Billing-Specialist?frame=1&aid=2415791&csid=132967