Albuquerque, New mexico
Medical Billing Specialist Job Opening in Albuquerque, New mexico - Bridges, Inc., improves the quality of lives of individuals with Autism and their families by providing behavioral healthcare services. Our goal is for all individuals to reach their own unique potential and to become as independent as possible so they may be fully contributing and valued members of their families and communities.
The primary role of the Billing Specialist is the submission and collection of insurance claims for all departments. The Billing Specialist also is responsible for performing insurance eligibility checks, obtaining prior authorizations, and performing all credentialing activities for field staff. This position reports directly to the Chief Financial Officer.
Compensation will be competitive, based on experience. Benefits include Paid Time Off, 401(k), and medical, dental, and vision insurance.
Required education:
High school diploma or equivalent
Medical billing certification preferred
Required experience:
Minimum of 2 years professional experience in billing and collections in a healthcare environment
Duties include but are not limited to:
Prepare and submit clean claims to various insurance companies electronically by obtaining information about patient treatment, diagnosis, and related procedures to ensure proper coding
Accurately post received payments to patient accounts in electronic billing system
Research insurance and respond accordingly within timely filing limitations
Partner and communicate with insurance representatives regarding payment discrepancies
Perform various collection actions including correcting and resubmitting claims
Identify and submit claims to secondary and tertiary insurances
Report on accounts receivable
Perform insurance eligibility checks and communicate information with client families and internal staff
Obtain necessary prior authorizations for service from insurance companies and communicate limitations with internal staff
Update monthly PA Tracker report
Perform all credentialing activities with insurance companies for all providers
Maintain patient confidentiality in accordance with HIPAA guidelines
Key Skills:
Highly knowledgeable and skilled in areas of electronic claims submission, CPT codes, and accounts receivable
Computer skills: Excel proficiency, working knowledge of Microsoft Office.
Strong written and verbal communication skills: able to communicate clearly and concisely
Ability to partner and build rapport with both internal staff and external individuals, including client families and insurance representatives
Patience - ability to work well with customers and field staff
Ability to prioritize and manage competing responsibilities
Attention to detail and accuracy
Flexibility and adaptability
Must have a high level of integrity and be a positive force in the workplace
Any offer is contingent on passing a drug screening.
Job Type: Full-time
Required education:
High school or equivalent
Required experience:
Medical Billing: 2 years
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