Job description

Far West Center is an award-winning community mental health center located in Westlake, Ohio, serving both Cuyahoga and Lorain Counties with a comprehensive ranges of mental health and recovery services. We have an outstanding opportunity for an experienced Billing and Reimbursement Specialist.

Responsibilities of the Billing and Reimbursement Specialist :

• Prepares and processes healthcare claims for outpatient mental health services to Medicaid, Medicare, County and commercial insurance payors.
• Assures the accuracy of payor data; verifies insurance coverage and benefits for patients, including deductibles, co-payments, co-insurance, and prior authorization requirements.
• Post payments from payors, including patient payments, and reconciles patient accounts.
• Researches and resolves claim denials to assure full and complete payment on clean claims.
• Prepares and sends patient account statements for balances owed.
• Prepares reports on claims status, aging accounts, and other trends identified with insurance payors.
• Assists with payment arrangements with patients when necessary.
• Liaison with insurance and managed care companies to resolve claims issues and assure timely, correct claims filing.
• Guides Far West Center providers around payor requirements.
• Assists with provider credentialing as needed.
• Coordinates work with intake/access staff and client service representatives to assure accurate and updated client information.

Requirements for the Billing and Reimbursement Specialist:

• Three (3) years recent experience in healthcare billing, preferably in a behavioral health or outpatient clinic setting.
• Extensive, recent knowledge of insurance payors including Medicaid, Medicare, managed care and insurance plans.
• Knowledge of CPT coding, diagnosis coding, and medical terminology as needed for claims processing.
• Ability to submit, download and post claims and payments electronically; EDI experience needed.
• Must demonstrate high initiative and accuracy in performing duties of this position.
• Ability to enter and manage payor and claims data in an electronic health record.
• Knowledge of payor credentialing requirements and eligible service providers.

Compensation for the Billing and Reimbursement Specialist:

An excellent salary and benefits package is offered, along with an opportunity to work in a team environment dedicated to service quality in all we do.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:
Masks required.

Application Question(s):

• How many years of EHR experience do you have?

Education:

• High school or equivalent (Preferred)

Experience:

• Insurance verification: 3 years (Preferred)
• Medical Billing: 3 years (Preferred)

Work Location: In person

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