The Recovery Center, LLC - Corporate Headquarters is looking for qualified candidates with experience in Behavioral Health Medical Billing to join our team. This position is responsible for submitting claims, posting payments & adjustments, rebills, EDI claim submissions, auditing claims, and conducting reconciliation. Overall Responsibility for the Revenue Cycle Billing Specialist: Determine billing inconsistencies, workflow discrepancies, and develop a work plan for corrections Prepares and submits claims to multiple insurers for multiple locations Process denied claims through resolving discrepancies with Program Managers and Clinical Directors Prepare daily and weekly reports of billing Obtain and post payments through EOBs to respective client files in the electronic health record Understand how to read and interpret EDI files. Maintains confidentiality; adheres to all HIPAA guidelines/regulations. Other duties as assigned by Supervisor. MUST know how to manually bill. Must have experience with OH, KY & MD Medicaid programs. Qualifications: Previous medical billing experience along with knowledge of billing-related reporting; 3 - 5 years experience in Behavioral health-care billing & collection practices. Understanding AND Experience with manual billing Experience working with medical payers such as Medicare, Medicaid, commercial insurances. Working knowledge of medical billing systems/software. Experience with Medicaid billing platforms Working knowledge of CPT and ICD-9/ICD-10 coding systems; Coding certification preferred. BA/BS preferred. Excellent organizational skills. Proficiency in Microsoft and Google Office Suites. Schedule: 8am-5pm (Required) Monday to Friday (Required) Remote position Education: Bachelor's (Preferred) Experience: ICD-10: 1 year (Preferred) Medical billing: 3 years (Preferred) Must have experience with OH, KY & MD Medicaid programs (Required) #J-18808-Ljbffr Tech9
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