Billing Specialist

Benefits:

• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
  
  
  

Job Description

Abria Detox is a private facility offering 24/7 detoxification and withdrawal management services. We specialize in treating individuals who have substance use disorders. Our facility has 20 beds and serves both male and female patients aged 18 and older.

We offer both full-time and part-time positions.

Position Overview:

Abria Detox is in search of a meticulous and well-organized Billing Specialist to join our team. The chosen candidate will assume a pivotal role in guaranteeing precise and punctual billing procedures, maintaining financial records, and optimizing revenue for the facility. This role demands a comprehensive grasp of medical billing protocols, insurance policies, and regulatory compliance.

Qualifications:

• High school diploma or equivalent.
• At least 2 years of experience in medical billing or insurance verification.
• Familiarity with Medicaid and commercial insurance billing prerequisites.
  
  
  

Preferred Qualifications:

• Proficiency in Insurance Verification, claims processing, and Practice Management Systems like Alleva and Procentive.
• Strong knowledge of medical terminology, CPT and ICD-10 coding principles, and insurance billing practices.
  
  
  

Key Responsibilities:

• Review and verify accuracy of patient demographic and insurance information.
• Enter patients in DAANES portal.
• Perform verification of eligibility and benefits to determine coverage and payer requirements.
• Prepare and submit prior authorization requests to insurance companies, including commercial payers, including Medicare and Medicaid.
• Maintain confidentiality of patient information and adhere to HIPAA guidelines.
• Collaborate with other departments, including admissions and clinical staff, to ensure billing accuracy and compliance.
• Work with patients on past due accounts to set up payment plans.
• Follow up on outstanding claims, denials, and appeals to ensure timely reimbursement.
• Log insurance receipts and patient receipts to ensure they are accurately attributed to accounts.
• Conduct daily audits of all billed claims for service line errors.
• Answer phone calls and emails with questions pertaining to an invoice or services.