Come grow with us! Elite DNA Behavioral Health is one of the largest providers of behavioral and mental health services in Florida – and we are expanding quickly! We believe in providing high-quality, accessible care to our patients and a supportive environment that allows our team to grow professionally.
Our goal is to hire you – the best talent – to support our mission and allow you to grow with us.
We thrive on a mutual goal of providing excellent care to our patients through our comprehensive care services and collaborative culture. Elite DNA is the pioneer of the care coordination approach to mental health, where all patients are matched with their ideal services and providers prior to receiving direct care. Our team is at the forefront of providing leading-edge therapy services – from psychotherapy to psychiatry – to specialized programs such as psychosocial rehabilitation, EMDR, and group therapy.
Everything we do here at Elite DNA is guided by integrity and compassion for our patients and employees.
When you join the Elite DNA team, you will feel proud to be a part of the group that helps children, adults, and families in our communities live better lives.
Job Summary:
Elite DNA Behavioral Health is seeking to hire 2 full-time Billing Specialists to join our team in the Ft. Myers office.
The Billing Specialist is responsible for providing support to providers, coworkers, and customers internally and externally on billing-related inquiries. The employee works/reviews all claims prior to their submission using department guidelines and Athena.
Remote work is optional.
Responsibilities & Standards:
- Demonstrate excellent interpersonal skills with patients, coworkers, and insurance carriers.
- Well-versed with all HIPAA Guidelines to ensure the protection of patient information from unauthorized inquiries.
- Process and post payments when necessary.
- Work hold accounts in Athena within a timely manner.
- Resolve patient complaints within a minimal timeframe, same day whenever possible.
- Meet timelines for reprocessing Athena claims after updating the account with new information as provided by patients or physicians within the guidelines and timeframes permitted by the insurance carrier.
- Advanced knowledge of CPT codes and modifiers.
- Answer phones and return voicemails within the same day.
- Claim adjudication carrier rules knowledge.
- Conduct themselves in accordance with Elite DNA Therapy Services Policies and Procedures including the Code of Conduct.
- Meet or exceed monthly performance goals, expectations, and reviews.
- Use Paid Time Off effectively.
- Keep overtime to a minimum/has any overtime approved by Director.
- Actively participate in team meetings and educational opportunities.
- Perform other duties as assigned.
- Be responsible for the assignment of accurate ICD diagnoses, CPT, HCPCS, and modifiers.
- Able to abstract code from medical records, reports, and related patient documentation.
Requirements
- Thorough knowledge of insurance carrier billing and reimbursement, CPT, modifiers, and fee schedule differences.
- Requires understanding of how to decipher explanation of benefits and explain the impact to the customer.
Licenses and Certifications: None
Communication Skills:
- Proficient oral and written communications, and project management skills.
- Excellent attention to detail, problem-solving, and customer service.
- Ability to conduct telephone conversations with patients regarding account resolution and payment collection.
- Must demonstrate positive interpersonal relationship skills with individuals and groups in a wide variety of settings.
- Insurance terminology knowledge essential.
- Effectively use Electronic Health Records.
- Typing Skills.
This position earns competitive compensation plus a full benefits package including medical, dental, vision, and life insurance, annual PTO of 15 days with tenure recognition incentives, one additional paid day for your birthday, and Employee Assistance Program. We also offer opportunities for growth, as well as a great team atmosphere that empowers you to take ownership of outcomes in providing quality service and support.
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