Behavioral Health Verification of Benefits & Collections Specialist Position Available In St. Lucie, Florida

Behavioral Health Verification of Benefits & Collections Specialist Infused Healthcare Solutions Port Saint Lucie, FL Job Details Full-time $15 – $17 an hour 1 day ago Benefits Health insurance Dental insurance Paid time off Vision insurance Life insurance Qualifications Revenue cycle management ICD coding Mid-level High school diploma or

GED ICD-9 CPT

coding Organizational skills Medical terminology 2 years Communication skills Full Job Description •

THIS IS NOT A REMOTE POSITION. MUST BE ABLE TO COMMUTE TO PORT ST. LUCIE

•POSITION

REQUIREMENTS/QUALIFICATIONS EDUCATION

Experience may be substituted for degree. Minimum of High School Diploma and/or

GED EXPERIENCE

Minimum of two (2) years billing experience in substance use or mental health.

LICENSURE/CERTIFICATION

None

KNOWLEDGE AND TRAINING REQUIRED AT TIME OF HIRE

Knowledge of the Principles and Practices of the discipline of account billing and collections as well as Verification of Benifits. Experience in CPT and ICD-9 coding; familiarity with medical terminology. Adheres to the facility ethics code. Knowledge of Joint Commission Standards. Demonstrates Proficiency in Communication & Written skills. Knowledge of State & Federal Statutes Regarding Client Confidentiality laws. Knowledge of Drug-Free Workplace Policies.

SPECIFIC AREAS OF RESPONSIBILITY TO POSITION

Maximize collections on assigned program service billing including institutional and professional services. Ensure accurate and timely filing, follow up of all claims. Keep Manager of Billing Operations apprised of all outstanding claims issues or concerns. Verify insurance coverage and benefits for patients prior to their appointments and or admission. – Communicate with insurance companies to obtain necessary information – Review and interpret insurance policies and guidelines Work closely with Management, collections department, and all facility locations with obtaining and maintaining accurate charge capture, coding/ diagnosis, insurance, and financial information in billing system. Identify, research, and resolve all services that are in a suspended status within the patient accounting system and ensure submission of claims to correct payor. Follow up on all outstanding unbilled claims as outlined in the Accounts Receivable process and procedures, providing a detailed account on all claims in an outstanding status. Research and resolve all claim master rejections. Rebill and/ Resubmission for corrective and replacement claims to insurances that has not paid or has been denied unjustly. Perform other duties as necessary to facilitate the goals and objectives of the Company. Works extremely well under pressure, meets multiple and often competing deadlines. Responsible for accurate and timely preparation and submission of claim to third party commercial carriers and intermediaries according to facility, state, federal and payer guidelines. Responsible for other job-related duties as assigned by Management. Responsible to gather and review data for billing and ensure that data is correct prior to entering into system. Essential duties include the ability to gather, review, and enter data accurately, must be detail oriented, have good communication skills and good organizational skills. Complies with facility policies and procedures. Maintains confidentiality of client information and records; and of facility proprietary, privileged, and/or confidential information. Completes daily tasks assigned and documents the delivery of all client services. Attends in-services and educational training as necessary and as assigned. Seeks out learning experiences and incorporates new knowledge into practice. Protect the privacy of all client information in accordance with our privacy policies, procedures and practices, as required by federal and state law, and in accordance with the general principle of professionalism as a health care provider. Failure to comply with our policies and procedures on client privacy may result in disciplinary action up to and including termination of employment. May access protected health information (PHI) and other patent information only to the extent that is necessary to complete your job duties. The incumbent may only share such information with those who have a need to know specific client information you have in your possession to complete their job responsibilities related to treatment, payment or other IHS, LLC’s operations. Expected to report, without the threat of retaliation, any concerns regarding IHS, LLC’s policies and procedures on client privacy and any observed practices in violation of the policy to their supervisor. Performs other duties assigned.

Job Type:

Full-time Pay:

$15.00 – $17.00 per hour Expected hours: 40 per week

Benefits:

Dental insurance Health insurance Life insurance Paid time off Vision insurance

Schedule:

8 hour shift Day shift Monday to

Friday Work Location:

In person