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Behavioral Health Medical Biller

Job in Pikesville, Baltimore City, Maryland, 21208, USA
Listing for: Pleasant Behavioral Health Systems
Full Time position
Listed on 2026-02-07
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Administration
Job Description & How to Apply Below

Overview

Candidates must reside in Maryland only.

Responsibilities
  • The Medical Billing Specialist files timely and complete appeals electronically, telephonically, or manually in accordance with payer guidelines.
  • Using a thorough understanding of payer contracts and claims analysis, the Medical Billing Specialist determines why the claims were denied or underpaid and requests claims adjudication corrections.
  • Provides supporting documentation or refers payers to reimbursement agreements for the resolution of nonpayment.
  • Billing Specialist researches and pursues reimbursement for medical claims that were denied or did not receive payment and also completes monthly audits.
  • Provides a spreadsheet of supporting documentation of reimbursement of claims billed or in process on a bi-weekly basis.
Requirements
  • MUST KNOW MARYLAND MEDICARE BILLING SYSTEM/AVAILITY SYSTEMS.
  • MUST KNOW ICAN NOTES.
  • MUST HAVE THREE YEARS OR MORE EXPERIENCE.
  • MUST BE WILLING TO WORK IN OUR OFFICE TWO DAYS A WEEK.
  • PLEASE DONT APPLY IF YOU DONT HAVE ALL REQUIREMENTS.
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