Billing Specialist

Vital Health is a full-service behavioral health and primary care center for adults and children in Northwest Ohio. We strive to prioritize the dignity of our patients to provide individualized treatment and holistic mind-body care. Vital Health is changing the way people think about mental illness/substance use disorders and behavioral healthcare overall. It is our mission to improve the lives of our patients, families and community.

Education/Experience/Other Requirements:

• Certificate in Medical Billing or an associate degree in business, healthcare, accounting or closely related field required, or may substitute four years related experience in lieu of degree.
• Demonstrated knowledge and understanding of health/behavioral health billing procedures and eligibilities for third-party providers preferred.
• Previous coding experience in a behavioral healthcare setting preferred.
• Strongly prefer prior experience in customer service and behavioral health setting.
• Must have strong attention to detail and be able to communicate (verbal and written) effectively with a variety of individuals.
• Competent computer/PC skills using Microsoft Office 365, Excel, and electronic health record systems.
• Must be able to establish daily work priorities and work independently and efficiently to meet deadlines
• Must be honest, dependable, self-disciplined, organized and be able to work well as a team member.
• Must be familiar with behavioral health and primary care billing

Essential Job Competencies/Primary Duties:

• Receives incoming questions from clients, payers and/or clinicians regarding client accounts; initiates data submission for any additional information needed, and interprets information back to the client, payer and/or clinician.
• Verifies insurance coverage, co-payment, and coordination of benefits and updates client billing information accordingly.
• Reviews, monitors, updates and ensures timely submission and follow up for payer authorizations
• Prepares paperwork for self-pay accounts to be sent to collections and adjusts self-pay balances when accounts are sent to collections.
• Maintains current knowledge regarding public payers, third-party and first-party payment procedures and regulations.
• Monitors dashboard and runs reports daily to monitor and initiate corrective actions as necessary to insure accuracy and completeness of billing, service and charge information for timely submission.
• Processes daily mail payments and Explanation of Benefits that accompany payments.
• Reviews charges for accuracy and generates claims for billing to payers and/or clients and follows up timely on claim generation errors.
• Enters payments received and balances input to deposit.
• Investigates denials from payers and initiates timely follow up.
• Must have experience with medicare, medicaid and commercial payers.
• Familiar with KIPU EHR and Collab md is a plus.

Job Type: Part-time

Pay: $18.00 - $24.00 per hour

Benefits:

• Life insurance

Schedule:

• Monday to Friday

People with a criminal record are encouraged to apply

Work Location: In person

Salary : $18 - $24