AR Specialist Job at Relief Mental Health
About Us:
Relief Mental Health was founded in February of 2020. Within these 3 years we have expanded to 10 new offices across Illinois, Wisconsin, and New Jersey. We aim to create a new standard for mental health care, offering a continuum of innovative therapeutic interventions and responding to evolving patient needs.
Responsibilities:
- Reviews superbills for accuracy of CPT coding, modifiers, and claim submission guidelines.
- Responsible for billing out charges to primary/secondary insurance carriers within timely filing limits.
- Ensures clinical efficiency and operational flow by actively ensuring all EMR “to do’s” are expedited in a timely manner.
- Resolving claim rejections within the EMR for resubmission.
- Perform appropriate follow up actions for daily claim denials, including submitting corrected claims, calling the insurance payer to investigate and resolve claim denials, and submitting appeals with appropriate medical documentation.
- Maintain workflow to keep aging accounts at a minimum by timely follow up on unpaid/underpaid/denied claims.
- Review and work incoming insurance correspondence, including refund requests.
- Identify and report denial trends from payers that affect timely reimbursement.
- Research and resolve customer inquiries/issues.
- Assist with meeting monthly close deadlines with billing and accounts payable.
- Perform regular audits on patient accounts to ensure accurate insurance and patient balances.
Qualifications:
- Strong medical billing knowledge with a minimum two years’ experience in medical billing and AR follow up.
- Ability to read and interpret insurance explanation of benefits and cash application methods.
- Ability to edit and resubmit claims for payment.
- Proficient in use of payer websites/portals
- Highly organized and detail oriented
- Understanding of medical terminology, insurances payers and lines of business
- HCPC/ICD-10 codes, medical billing practices, and billing reimbursement.
- Behavioral Health experience is a plus
- Experience with Kareo is highly preferred
What we Offer:
- Competitive Wage
- PTO
- Health Insurance (Medical, Dental and Vision)
- 401K with Employer Match
- Partnership with Lifetime Fitness
- FSA and Dependent Care FSA
- Short Term disability
- Life Insurance
- Tuition Reimbursement
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