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Billing Specialist

Company: Resources for Human Development
Location: Bethlehem
Posted on: April 14, 2019

Job Description:

BILLING SPECIALIST

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DESCRIPTION/JOB SUMMARY

Billing Specialist
Resources for Human Development - Pennsylvania Behavioral Health & Housing Division
Can be located Philadelphia, PA or Bethlehem, PA

Position Summary
The Billing Specialist is responsible for billing, collections, claims resolution and payment posting for multiple programs and payers.

Essential Duties and Functions

* Charge and Claim Processing

* Confirm that all services provided have been entered

* Appropriately process all services to be billed

* Timely file all claims -primary and secondary

* Confirm successful transmission to payors and timely resolve any transmission errors, rebilling as needed

* Confirm that appropriate charges and contractual adjustments are posting for all claims

* Timely communicate un-billable claims to mitigate timely filing denials

* Claim Resolution

* Follow-up with payers to resolve all rejections, denials, re-submissions, and appeals.

* Communicate with insurance companies, program staff and other internal stakeholders to settle billing issues and resolve open claims

* Work open claims systematically giving priority to aged claims to resolve balances in a timely manner

* Respond to inquiries or follow up on issues and provide information to resolve outstanding balances

* Partner with program personal, insuring compliance with RHD Billing requirements and guidelines

* Create and provide reports to analyze billing and accounts receivable

* Initiate the write-off of claims, where applicable

* Payment posting

* Ensure payments and adjustments are properly applied and that payments reconcile to the EOB s received by payers

* Retrieve payment files from various websites for payment processing

* Process payments received from multiple insurance plans, 3rd parties and patients

* Ensure deductibles, coinsurance, copays, and denials are properly posted

* Perform payment research and investigation as needed

* Reconciling Unapplied Accounts

* Complete all other duties as assigned

.
Qualifications

* High School Diploma or equivalent

* Three years of experience preferably with accounts receivable for healthcare or mental health billing systems in a high-volume Medical Insurance Billing setting

* Proficiency in Microsoft Excel

* Must be detail-oriented and able to juggle multiple assignments in a fast-paced open environment

* Experience with Netsmart Avatar application is a plus.

Resources for Human Development is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, gender, gender identity, sexual orientation, national origin, genetic information, veteran, or disability status.

Keywords: Resources for Human Development, Bethlehem , Billing Specialist, Accounting, Auditing , Bethlehem, Pennsylvania

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