Billing Specialist Job Salt Lake City Utah USA,Healthcare

Overview

The Billing Specialist will be responsible for overseeing the billing processes specific to medical, mental health, and substance abuse claims. This role focuses on minimizing denial rates and ensuring accurate, timely submissions to payers. The ideal candidate will possess a strong understanding of the revenue cycle, familiarity with coding and billing guidelines, and a commitment to optimizing revenue while maintaining compliance with regulations.

Location

Salt Lake City

Schedule

Monday - Friday 8AM-4PM

Full-Time Benefits Include

$9,000/year tuition eligibility
Paid continuing education/training opportunities
Monthly incentives and awards
Casual dress and atmosphere
Health insurance: medical, dental, vision, FSA, long & short-term disability
Competitive 403b match after 1 year
Accrue up to 34 paid days off annually
Wellness perk: convert ½ of unused sick time to vacation at year-end
Sabbatical program after 5 years of service (we pay you to take a vacation!)
On-demand pay – access earned wages early (conditions apply)
Extra time off & gift packages for employees after 90 days
24/7 Employee Assistance Program (EAP) for mental health and more

Key Responsibilities

Claims Submission: Accurately prepare and submit claims for services to insurance payers using appropriate coding and billing guidelines. Ensure that all claims are submitted timely and follow payer-specific requirements to decrease the likelihood of denials.

Denial Prevention and Management: Monitor billing processes closely to identify potential issues that could lead to denied claims. Conduct thorough audits of claims prior to submission to ensure compliance with all coding and billing regulations. Work to achieve minimal denial rates by implementing best practices in billing, coding, and documentation.

Collaboration and Communication: Collaborate with clinical staff to gather necessary documentation and ensure accurate coding for various services. Maintain effective communication with payers to clarify billing discrepancies and resolve issues proactively.

Accounts Receivable Management: Track and manage accounts receivable, ensuring follow-up on unpaid claims within established timelines. Address and resolve any inquiries from insurance companies regarding billing statements or claim statuses.

Reporting and Analysis: Analyze trends in denials and billing issues, providing recommendations for process improvements to enhance revenue cycle efficiency.

Education and Training: Stay updated on changes in billing practices, regulations, and payer policies specific to medical, mental health, and substance abuse claims. Participate in training initiatives to continually improve knowledge and skills related to coding, billing, and revenue cycle management.

Compliance Assurance: Ensure compliance with all relevant healthcare regulations, including HIPAA, state laws, and payer policies, to maintain the integrity of patient information and billing processes.

Qualifications

Proven experience in healthcare billing, particularly in medical, mental health, and substance abuse claims management.
Strong knowledge of CPT, ICD-10, and HCPCS coding as they relate to mental health and substance abuse services.
Familiarity with revenue cycle software and electronic health record (EHR) systems.
Excellent analytical skills and attention to detail to minimize errors and denials.
Strong communication and interpersonal skills to facilitate collaboration with various stakeholders.
Ability to manage multiple tasks efficiently in a dynamic healthcare environment.

Work Environment

This position may require working in an office setting during standard business hours, with potential opportunities for remote work based on company policy.

Licensure / Education / Prior Experience Required

Bachelor’s degree in healthcare administration, finance, business, or a related field preferred, or equivalent work experience in medical billing.
Willingness and ability to pass a criminal background check
First Aid and CPR Certification (available at Odyssey House)
Must meet employment eligibility
Must be able to work variable shifts as needed

Employment offers are contingent upon successful completion of…


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