Company Info

Acadia Healthcare
2820 Walton Commons Lane, Ste. 100
Madison, WI, United States
Phone: 6084677385
Web Site: www.acadiahealthcare.com

Billing Specialist

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Job ID:

4718

Location:

Madison, WI, United States 

Category:

Insurance Billing and Coding
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Job Views:

114

Zip Code:

53718

Employment Type:

Full time

Posted:

05.18.2018
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Job Description:


Position Characteristics
Under the supervision of the Billing Supervisor, the Medical Biller is primarily responsible for completing the billing activities of Acadia Healthcare. The right candidate will possess a strong knowledge of medical claims submission, in an office that uses more manual systems than automated. Must have the ability to work efficiently both independently and as a team, with the foresight to assure all information on claims is correct and clean. The CBO is a fast paced environment and staff must be committed to producing the highest quality of work. Looking for someone with an outgoing and “can do” attitude. Candidate should be self-motivated and up for the challenge of getting the job done.

Medical Biller Responsibilities
• Bill and post revenue payments/charges to patient’s accounts and insurance payors
• Review and audit patient bills for accuracy and completeness and obtain any incomplete or missing billing information
• Obtain authorizations as appropriate.
• Ensure verification of eligibility and payor benefits
• Prepare, review, and transmit claims using automated systems and manual paper claim process
• Knowledge of insurance guidelines, including HMO, PPO, Medicare, and state Medicaid
• Follow up on unpaid claims within specified billing cycle timeframe
• Validate insurance payment for accuracy and compliance based on contractual terms
• Evaluate and investigate payor matters for any discrepancy in payments as necessary
• Identify and bill secondary payors
• Follow-up on all accounts with payor or patient
• Follow-up on payor specific appeals and denial of claims.
• Respond to all patient or insurance telephone inquiries to ensure timely reimbursement.
• Update cash spreadsheet, generate collection reports and ensure compliant collection efforts interpreting the explanation for benefits (EOB)
• Other duties as assigned

Job Requirements:

• 3+ years of medical billing experience preferred
• Experience billing professional and physicians’ charges to insurance companies
• Experience reading electronic claim files
• Knowledge and competency to use medical claims clearinghouse system
• Must be a self-starter
• Possess strong organizational and follow up skills.
• Proficient with Microsoft Office products (Excel and Word)
• Ability to work under tense deadlines.
• Ability and willingness to work as part of a team.
• Familiarity with HCFA 1500 & UB-04