About Addiction Recovery Care
At Addiction Recovery Care we incorporate the best practices of clinical drug addiction treatment. We provide addiction recovery that works with a commitment to provide hope and freedom to those suffering from addictions. Our passion is to restore productive lives through a recovery program that establishes emotional health, physical wellness, and spiritual growth. Our dedication is to see transformed lives anchored in strong family relationships, meaningful careers, and social responsibility.
POSITION SUMMARY: The role of the Billing Specialist is to ensure behavioral health claims are billed following all federal and state guidelines and requirements of payers. A Billing Specialist is responsible for processing daily billing claims in a timely and accurate manner. This job requires strong attention to detail.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
* Review clinical documentation from EMR billing reports for accurate and complete diagnostic and procedure information.
* Review all departmental billing guides, payer rules, and any changes to billing guidelines
* Maintain current working knowledge of Medicaid billing regulations and requirements
* Prepare clean claims to be sent to insurance companies electronically
* Prepare electronic claims on a UB04 or CMS 1500 format
* Actively works with the Utilization Review Department if an issue with a patient's authorization is presented
* May be required to request diagnosis or other data from providers when not recorded in the clinical documentation in the EMR, or if the information is incomplete.
* Determines the correct sequence of primary and secondary diagnoses according to provider documentation.
* Applies knowledge of ICD-10, CPT, HCPCS, and modifiers to all provider coding and billing assignments.
* Verify completeness and accuracy of all claims prior to submission.
* Ensure claims are submitted with a goal of zero errors.
* Communicate with ARC facilities and other departments to assist with answering questions when needed.
* Consult supervisor, team members, and appropriate resources to solve billing questions and issues.
* Maintain work operations and quality by following standards, policies, and procedures; escalate compliance issues to supervisor.
* Attend meetings with Supervisors to discuss departmental information
* Interacts with providers and peers face-to-face, by telephone, and in writing in a professional and productive manner.
* Maintains the strictest confidentiality; and adheres to all HIPAA guidelines/regulations.
* Work efficiently and effectively in the EMR and Billing software system to ensure clean claims are sent to the payers appropriately.
* Protect the privacy of all persons served/client information in accordance with Addiction Recovery Care Center/Odyssey, Inc.’s privacy policies, procedures, and practices, as required by federal and state law, and in accordance with the general principle of professionalism as a healthcare provider
* Perform additional duties as requested
EDUCATION/EXPERIENCE/CERTIFICATION:
* High School Diploma or GED
* Administrative experience preferred
* PreviousBilling experience preferred
* Substance Abuse experience preferred
The above isintended to bea general outline of job duties and not a complete list.
Addiction Recovery Care, LLCoffers a competitivebenefits package, including,
* Health,Dental and Vision Insurance
* Optional company-sponsored retirement plan (401k)
* Short-Term/Long-TermDisability Insurance
* Other ancillary insurance products i.e.,Critical Illness, Accident policies, etc.
* Paid Holidays and Vacation
Addiction Recovery Care, LLC is an equal-opportunity employer.
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