What are the responsibilities and job description for the Medical Biller position at Taravista Behavioral Health?
Join us as a Medical Biller!
Full time, 40 hrs/week.
The Medical Biller will be responsible for billing large quantities of weekly claims to Medicaid, Medicare, commercial insurance companies, government programs and self-pay accounts as well as posting and filing of EOB’s. We are looking for an experienced, organized, independently motivated individual to work on a fast paced, high-volume team producing accurate and effective results. Attention to detail and problem-solving skills are a must
How You Care for our Patients
Handles third party payer claims according to contract terms.- Runs assigned daily billing reports to determine account needs and updates files with current billing information.
- Reviews and confirms that appropriate billing documentation has been obtained.
- Maintains knowledge of all insurance guidelines and applies that knowledge to billing as required by individual contracts.
- Identifies, monitors, and corrects electronic and paper claims to avoid delay in processing. Check all claims were loaded and file was received.
- Verifies data entry to ensure accuracy of imported/keyed data.
- Ensures that all secondary billing is completed and billed to respective payor.
- Works unbilled revenue reports to verify pending claims and bring them to closure.
- Posting of all Electronic and paper EOB’s.
- Reconciles open accounts to establish patient responsibility, and accuracy of processed insurance claims through resolution.
- Scanning and filing of all EOB’s and Authorizations.
- Billing and follow-up of all Self-Pay accounts.
- Performs related duties as required or as assigned by Supervisor.
- Other responsibilities as assigned.
How We Care for You
We offer competitive compensation. Our benefits package includes medical, dental, vision, 401(k), employer paid short term disability (STD), long term disability (LTD), life insurance, and generous Paid Time Off. Our care for you goes beyond the benefits package. We are focused on providing you the care and support that you need to thrive at home and at work.
You Bring Meaningful Experience
Successful candidates will have the following:
Behavioral Health and/or Hospital billing experience preferred.- Must be knowledgeable in CMS FISS and MMIS systems.
- 3-5 years of Medicare/Medicaid and/or other payor Billing/Collections experience.
- Knowledge of Medicare, Medicaid, Managed Care and Commercial insurance guidelines and programs.
- Experience with Billing Compliance guidelines
- Experience in Microsoft Office and other computer software products
Other Qualifications: Prior experience working within an inpatient behavioral health setting or outpatient behavioral setting preferred. Experienced with Microsoft Office with sufficient typing and computer skills. Knowledge and experience in the use of Electronic Health Record preferred.
TaraVista Behavioral Health Center is a regional inpatient treatment center serving Middlesex County, Worcester County and Southern New Hampshire. What sets us apart is our experienced and engaged staff who are passionate about helping people to get better. We are expanding our programs so we can care for more people during this unprecedented time of need for behavioral health. Working at TaraVista is a great opportunity to make a lasting impact in the lives of others, in your community and in your career.
Work With Us As We Live Our Values
Visionary: We aspire to set the standard for how behavioral healthcare services are provided.- Integrity: We conduct ourselves in an honest and ethical manner.
- Safety: We strive to provide a safe environment for patients and caregivers.
- Transformational: We inspire our team members, our patients, and their families to lead fulfilling lives.
- Advocacy: We advocate for our patients and the services we provide and work to decrease the health disparities in our communities.
TaraVista is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
