Gilead Community Services

Medical Billing Specialist

US-CT-Middletown
Job ID
2017-1272
Category
Administrative/Clerical
Type
Regular Full Time - 40 hours
Job Schedule
Mon-Fri 8a-4p

Overview

Summary

Position performs numerous functions of medical billing for the organization.

Responsibilities

-Verify mental health benefit insurance information for clients for the Outpatient Clinics and communicates this information back to the clinics.
-Apply medical billing knowledge to generate, review and submit electronic and paper bills to insurance companies weekly.
-Actively works all accounts receivables for timely collection of outstanding balances.
-Assists clinicians in ensuring all prior-authorizations requirements are met in a timely manner.
-Process claims for billable services outside of OPC. For example, rehab option, WISE.
-Review EOB’s for denials and resubmit corrected billing as needed.
-Mail client outpatient clinic statements monthly.
-Assists with credentialing of billable providers.
-Answers multi-line telephone system, relays messages, and screens and directs phone calls for management in a professional manner.
-Greets visitors, in reference to the daily schedule, organizes office calendar and obtains information and organizes meetings as needed.
-Reviews and maintains charts and files in an organized accessible manner and acquires necessary medical information to ensure proper -documentation enclosed in accordance with program guidelines.
-Schedules clients for appointments in an efficient and productive manner as needed.
-Performs other duties, works on related projects and contributes to the overall success of the finance department.
-Attends relevant training sessions as indicated.
-Other duties as assigned.

Qualifications

-Ability to handle busy work environment and to prioritize needs and work independently to meet deadlines. 
-Requires knowledge of Word, Excel, and medical billing software.
-Must maintain and provide proof of valid driver’s license and automobile insurance in good standing.
-Must meet and maintain all required trainings, certifications etc. as needed.
-Uphold confidentiality by following the HIPAA regulations.

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