Madison, Wisconsin
Medical Billing Specialist Job Opening in Madison, Wisconsin - The Acadia Healthcare Comprehensive Treatment Center (CTC) division, is looking for an experienced Medical Biller for our Madison, WI Business Office.
Position Characteristics Under the supervision of the Billing Manager, the Medical Biller is primarily responsible for completing the billing activities of Acadia Healthcare. The right candidate will possess a strong knowledge of medical claims submission, in an office that uses more manual systems than automated. Must have the ability to work efficiently both independently and as a team, with the foresight to assure all information on claims is correct and clean. The CBO is a fast paced environment and staff must be committed to producing the highest quality of work. Looking for someone with an outgoing and ?can do? attitude. Candidate should be self-motivated and up for the challenge of getting the job done.
About Acadia Healthcare: (Nasdaq: ACHC) Acadia Healthcare is a provider of inpatient and outpatient behavioral health and addiction treatment services. Acadia operates a network of 270+ behavioral healthcare facilities with approximately 10,000+ beds in 40+ US states, the United Kingdom and Puerto Rico. Acadia provides psychiatric and chemical dependency services to its patients in a variety of settings, including inpatient psychiatric hospitals, residential treatment centers, outpatient clinics and therapeutic school-based offer a competitive benefits package to all full-time employees including Medical, Dental, Vision, 401k, Company paid group term life insurance.
Medical Biller Responsibilities
Bill and post revenue payments/charges to patient?s accounts and insurance payors
Review and audit patient bills for accuracy and completeness and obtain any incomplete or missing billing information
Obtain authorizations as appropriate.
Ensure verification of eligibility and payor benefits
Prepare, review, and transmit claims using automated systems and manual paper claim process
Knowledge of insurance guidelines, including HMO, PPO, Medicare, and state Medicaid
Follow up on unpaid claims within specified billing cycle timeframe
Validate insurance payment for accuracy and compliance based on contractual terms
Evaluate and investigate payor matters for any discrepancy in payments as necessary
Identify and bill secondary payors
Follow-up on all accounts with payor or patient
Follow-up on payor specific appeals and denial of claims.
Respond to all patient or insurance telephone inquiries to ensure timely reimbursement.
Update cash spreadsheet, generate collection reports and ensure compliant collection efforts interpreting the explanation for benefits (EOB)
Other duties as assigned
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Qualifications
To perform the essentials of the Medical Biller position competently, an individual must be able to perform each task within this position effectively and efficiently. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Position Requirements
3+ years of medical billing experience preferred
Experience billing professional and physicians? charges to insurance companies
Experience reading electronic claim files
Knowledge and competency to use medical claims clearinghouse system
Must be a self-starter
Possess strong organizational and follow up skills.
Proficient with Microsoft Office products (Excel and Word)
Ability to work under tense deadlines.
Ability and willingness to work as part of a team.
Familiarity with HCFA 1500 & UB-04
Strong oral and written communication and interpersonal skills.
Ability to prioritize and multi task a large work volume with a high level of efficiency and attention to detail.
Dependable and able to work independently.
Willing to adjust schedule to meet work demands
Typing 35-40 WPM
Detail-orientated.
Hours
Hours are Monday-Friday 7:30 AM to 4:00 PM.
Job Type: Full-time
Required experience:
medical billing: 2 years
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