Billing and Coding Specialist

The Billing and Collections Specialist will process insurance claims for medical services rendered and follow claims until paid. The Billing and Collections Specialist will also monitor that all active clients’ utilization management is current and work with the clinical team to ensure clients’ treatment is covered by insurance.

Requirements

• Review documentation for accuracy for coding and billing purposes
• Submit claims and all communications pertaining to the claims being submitted.
• Keep and update active reports for billing and billable items.
• Utilization review (submitting and monitoring prior authorizations)
• Reviewing denials for reprocessing
• Posting insurance payments against claims in billing software
• Verifying eligibility of clients prior to billing
• Following-up on insurance eligibility for pending enrollments
• Attends meetings as needed for clearinghouse, billing, provider relations, etc.
• Support efforts to provide inclusive and accessible translation services for clients

Benefits

• Medical, Dental, and Vision
• Employee Assistance Program
• Group Term Life/Voluntary Term Life/AD&D/Short Term Disability/Voluntary Accident Coverage
• 401(k) Savings Plan
• Tuition Reimbursement
• PTO and Sick Time