CTS Health Services is a community mental health services center that specializes in a holistic approach to health and wellness for children, parents, and adults of varying circumstances and mental challenges. We provide one-on-one behavioral interventions for our clients and their support circles to help our clients navigate through life within their community at their highest level.
A Billing Specialist is responsible for assisting with overseeing the billing process for all of CTS states/locations and services. Their duties include processing payments on behalf of a Payer or patient, maintaining organized financial records to aid reporting and calculating bill totals by looking through previous financial statements.
Responsibilities
- Coding outpatient medical and behavioral health medical records.
- Foster Care billing in Payer Portals.
- Reconciling insurance claim denials in a timely manner.
- Identifies carrier-related denial trends and payment problems that need to be reported to the Billing Supervisor and Account Revenue Cycle Manager.
- Creates and submits accurate spreadsheets of outstanding accounts receivable to assigned payors and pursues balances owed.
- Submits dispute on Payer Portals.
- Verifies that the services are correctly authorized, and that required documentation is on file prior to billing.
- Ensures that all required documentation for billing is completed and accurate prior to claim submission.
- Submits timely, accurate invoices to payer for products and services provided.
- Submits invoices to patients and recoups any outstanding balances on patient accounts within the proper timeframe.
- May assist in training new team members.
- Other duties as tasked by immediate supervisor.
Requirements
The ideal Billing Specialist candidate will possess the following:
- Understanding of ICD-10 and CPT coding.
- 5+ years’ experience in Medical Billing, preferably with both physical and mental health.
- Certification, education, or training in medical billing and coding, preferred.
- Experience with billing and insurance verification with Medicaid, Medicare, and Commercial payer.
- Experience with payment posting and end of day reconciliation.
- Strong computer skills including MS Excel and proficiency working with spreadsheets.
- Great organizational, communication, and problem-solving skills.
- Self-motivated, able to work independently with minimal direction.
- Understanding of all Microsoft Office applications including OneNote.
- Detail-oriented.
Training
Training will be completed with CTS if not already in possession:
- CTS Health orientation.
- Rule 132.
- Service Definition.
- OIG Rule 50.
- HIPAA.
- Client Rights.
- Confidentiality.
- Mandated Reporter.
- Health and Safety.
- Cultural Competency.
- Workplace Violence and Safety.
What you get:
- Full benefits package after a 90-day probationary period.
- Flexible hours and schedule.
- Growth opportunities.
- Encouragement of creativity.
- Holistic and supportive culture and environment.
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