Career Opportunity - Medical - Insurance Billing Specialist
Mountainside Treatment Center is an innovative and comprehensive drug and alcohol rehabilitation facility located in Connecticut.
We are currently seeking a full-time Insurance Billing Coordinator. The ideal candidate will have experience working with insurance companies, an understanding of pre-certification processes, utilization reviews and the ability to multi-task in a fast paced environment. Knowledge of substance abusive disorders and treatment is a plus.
JOB DUTIES / RESPONSIBILITIES
- Knowledge over EMR (Electronic Medical Records)
- Word processing, spreadsheet, and other software applications to prepare reports, invoices, financial statements and letters
- Review insurance policy to determine benefit coverage. Knowledge of out-of-network benefits and co-insurance
- Manage settlement charges with insurance companies
- Interview patients to complete documents, case histories, and forms such as intake and insurance forms
- Correspond with insured or agent to obtain information or inform them account status or changes
- Verify accuracy of billing data and revise any errors
- Complete insurance and other claim forms / UBO4 claim forms on a weekly basis
- Maintains all insurance payments including all reconciliation
- Preparing itemized billing statements
- Process and record new insurance policies and claims
- Maintains financial records
- Resolve discrepancies in accounting records
- Take calls from residents and families to provide customer service and obtain information on claims
- Responsible for storage of all financial records
- Maintain adequate interpersonal relationship with employees and insurance companies
- Perform other related duties as assigned
QUALIFICATIONS
- Bachelors (BA/BS) degree preferred.
- Must have 1-3 years of experience in a related field.
- Experience working with insurance companies a plus.
- Prior experience in sales / marketing / customer service.
- Excellent written, verbal skills and communication is required.
- Ability to work in a fast paced multi-task environment.
- Knowledge of Sigmund Software / Quickbooks is a plus.
- Background in MS Office with proficiency in Excel and Word.
Submit resume to: hr@mountainside.com
