BH Billing Specialist II

Position Summary :

Handles the processing of sorting and receiving incoming payments with attention to accuracy along with managing the status of accounts / balances and identifying inconsistencies.

THIS IS AN OFFICE BASED POSITION.

Position Description :

• Ensure charges are prepared & submitted, timely follow-up & resolution on unpaid claims, denials & errors
• Ability to create accurate & timely corrections, adjustments or write offs
• Research & contact payers to determine the status of submitted claims & investigate claim denials & appeals
• Ability to acquire & interpret payer eligibility & EOB data
• Ensure client's information is accurate, up to date & sequenced properly in internal & external system(s)
• Collaborate with clients, insurance providers & internal & external stakeholders to obtain the necessary documentation
• Assist other billers as needed
• Full understanding of Board eligibility, funding, modifiers and allowable services
• Apply knowledge of insurance regulations, billing codes, rates, credentialing, ICD-10, CPT, HCPCS, modifiers & industry practices to ensure compliance & optimize reimbursement
• Collect & review referrals & authorizations
• Ensure posted payments (including zero payments) are accurate & monitor missed payments
• Maintain educational sessions, compliance with company policies & meetings as required by internal & external parties
• Maximize electronic health record (EHR) system use & obtain full understanding of all functions & use
• Perform intermediate to difficult projects or assignments
• Other duties as assigned

Required knowledge, skills & abilities :

Job requirements :

Essential Functions / Physical Demands :

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or on the basis of disability.