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Billing Specialist

Company: Transformations
Location: Taunton
Posted on: January 6, 2022

Job Description:

Transformations Care Network is an established network of behavioral health clinics that, out of a passion for providing superior patient care, is empowering our clinicians and customer service teams to provide easy access to high quality, outcomes-based care to all those that need help, and when they need it most. Our vision is to create a united, centralized network of accessible, multi-specialty clinics that offer immediate, superior behavioral health treatment options. We provide our employees with the opportunity to grow, learn and expand their skills! We are growing rapidly and want to talk to you about what that looks like for you and your career!

Position Summary:

This position reports to the Director of Billing and is responsible for daily billing/interfacing of charges as well as any manual charge entry functions assigned. Assists in training and development of billing department teammates.

Essential Duties and Responsibilities:

The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all-inclusive.
Ensures daily, accurate billing/charge interface through electronic charge capture system or electronic health record, to practice management system
Demonstrates thorough understanding of the billing/charge function
Completes timely resolution of any charges submitted lacking necessary information to complete interface by contacting the practice, patient or provider (missing demographic information, o missing authorizations, )consent to treat
Timely completion of unbilled PTQ holds and error buckets in practice management system
Maintains strong knowledge of mental health billing guidelines
Act as a resource and provides guidance and/or training to RCM team as it relates to billing
Monitors delays in provider billing and PTQ unbilled and escalates issues as needed
Consistently meet or exceed the department productivity and quality standards and performance requirements
Other duties and responsibilities as assigned
Attend team meetings, phone conferences, and training as needed; facilitate team meetings and phone conferences as needed

Minimum Qualifications:
Minimum 2 years of physician office experience
Self-starter; able to move own workflow along with minimal oversight
Accurate; detail oriented and able to meet tight turnaround times
Strong written, verbal, and interpersonal communication skills
Ability to exercise initiative, judgment and decision making skills
Intermediate computer skills and proficiency in MS word, excel outlook and database management and internet usage

Preferred Qualifications:
3+ years of physician billing experience
Certified Revenue Cycle Representative or other billing certification

Keywords: Transformations, Taunton , Billing Specialist, Accounting, Auditing , Taunton, Massachusetts

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