Billing Analyst responsible for ensuring accuracy in tenant utility billing processes at Metergy Solutions. Collaborating with departments and maintaining data integrity for electric, water, thermal, and gas billing.
About the role
- Billing Specialist managing claims for substance abuse treatment operations at All In Solutions. Focus on timely billing, payment posting, and claim resolution across multiple states.
Responsibilities
- Prepare, audit, and submit timely and accurate electronic and paper claims to commercial payers, Medicaid, and Medicare across multiple states (NJ, FL, CA) for all levels of care (Detox, Residential, PHP, IOP).
- Accurately post electronic remittances (ERAs) and manual payments, reconciling them to patient accounts and preparing daily deposit reports.
- Research and resolve denied claims by identifying the root cause (e.g., authorization, coding, or documentation issues).
- Prepare and submit clear, complete documentation for claims reconsideration or appeal processes.
- Proactively manage and work aging A/R by contacting payers, resolving outstanding balances, and documenting all follow-up actions efficiently.
- Apply correct CPT, HCPCS, and ICD-10 codes for behavioral health and SUD services to ensure clean claim submission and regulatory compliance.
- Serve as a direct point of contact for payers to resolve claim rejections, verify benefit details, and confirm authorization requirements.
- Maintain meticulous records of all billing activities, communications, and remittance advice to ensure readiness for HIPAA and payer audits.
Requirements
- Bachelor’s degree in Healthcare Administration, Finance, Business, or related field strongly preferred (or equivalent experience).
- Minimum of 2 years of professional experience in a hands-on Medical Biller, Collections Specialist, or Revenue Cycle Specialist role, preferably within a behavioral health or SUD setting.
- Proven experience with CРT, HCPCS, and ICD-10 coding specific to psychiatric and substance use disorder services.
- Direct working proficiency with a major EMR and billing software system.
- Experience with Kipu EMR and/or Collaborate MD is highly desirable.
- Strong understanding of Explanation of Benefits (EOBs) and the ability to interpret payer contracts and fee schedules.
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