Manager of Insurance and Billing
Description

  

Primarily responsible for the mental health billing process, including submitting claims, processing payments and denials, verifying insurance benefits, and sending client statements. 


Essential Duties and Responsibilities include the following:

· Process behavioral health billing in a timely manner

· Monitor the accuracy of submitted claims

· Verify ICD-10 / CPT coding for accuracy and make adjustments as needed

· Communicate with payers, third party vendors and patients regarding claims, payments, and outstanding balances

· Review explanation of benefits to ensure claims process and pay correctly

· Monitor and identify status of outstanding accounts

· Contact third party payors, patients, or others for outstanding payments

· Process refund transactions for overpaid accounts

· Process correspondence for rejections

· Credential staff with appropriate agencies

· Perform special projects/reports and other duties as requested

Requirements

    

The position requires excellent customer service skills, attention to detail, organizational skills, flexibility, and adaptability to work in a multi-task environment. Must be familiar with claims adjudication process and appealing claim denials. An ideal candidate will be able to work effectively with the Administrative Support Services Team and provide quality customer service through verbal and written communication. Must maintain professionalism and confidentiality consistent with agency expectations and must maintain knowledge about and adhere to agency policies and procedures.

  • High School Diploma/GED
  • Minimum of four years’ experience billing and processing mental health or medical claims, verifying insurance benefits, and credentialing clinicians. 
  • Experience with EHRs / EMRs / Medical Billing Software. 
  • MS Office and Outlook computer skills required. 
  • Spanish fluency preferred 

 This is a salaried, exempt position with a range of $60,000 - $80,000 commensurate with skills and experience. Benefits include full medical, dental, and vision benefits, paid time off, short-term and long-term disability, and 403b retirement plan.  

Salary Description
$60,000 - $80,000/annually