Medical Record Specialist

Position Summary:

Billing & Payments Specialist’s responsibilities include but are not limited to tasks that require the ability to collect data from our facility’s EMR (i.e., KIPU/Alleva etc.), such as patient name, DOB, and member ID #. In addition, the best candidate for this position will be experienced in behavioral health claims billing and behavioral health remittance and payments. A Billing & Payments Specialist oversees the company's process for gathering charge information provided by the facility on the census and submit to the payers in the form of a UB-04 (institutional claim) or a CMS-1500 (professional claim) via the clearinghouse & web vendor CollaborateMD (CollabMD). A Billing & Payments Specialist will also be liable for posting all payer remittances upon retrieving them from the web portals daily (EFT only) and receiving them from the facility if paper check / patient funds are received.

Essential Duties:

• Efficient with Outlook / Microsoft Office Suite
• Evaluate claims/ Medical Record Requests to review all charges that are submitted to compare with authorization/medical necessity
• Ability to transfer and store all data in Monday.com
• Ability to utilize the billing software CollaborateMD to post & notate all request received on remittance

Key Competencies:

• Proven reliability when adapting to new experiences
• Required ability to follow standard operating procedures for role
• Solid understanding of insurance policies, claims or payment remittance from payers, if no current understanding is available at the time of hire the ability to catch on in a timely fashion is expected
• Must have the ability to multitask and manage time effectively without consistent oversight
• Excellent written and verbal communication skills
• Ability to remain organizationally effective and delegate / complete tasks in a first in first out manner

Minimum Qualifications:

• High School diploma or equivalent – some work history may be able to be substituted if necessary
• Proven interpersonal skills with the ability to interface effectively both internally and externally with a wide range of people including insurance companies, office staff, facility operators and other staff as needed

Work Environment:

General office setting for third-party billing and collections staff. There will be no daily face-to-face interactions with facility staff, operators, or patients – this office & position is remote to all facilities located in Peachtree City, GA. This Position is in office or remote depending on case by case basis and experience.

Benefits Include:

• Medical, Dental, Vision, Life
• Employee Assistance Program
• 401k Match
• Paid-Time Off
• Sick Time
• Holiday Pay