Billing Specialist - Behavioral Health Outpatient - Apply Using Job Code 5965

Finance & Accounting, Perth Amboy, NJ

• Prepare claims to submit to Medicaid/Medicare/Commercial insurance through MyEvolv billing software (835) and Trizzetto clearinghouse
• Apply electronic remittances (837) and cash receipts to claims
• Provide posting information on EFT/ACH/Checks received to Accounting Department.
• Follow up consistently on unpaid or rejected claims
• Report on outstanding claims to Billing Manager, CFO and local offices
• Mail client statements
• Answer questions for clients, local offices and Access department relating to all revenue cycle matters with professional phone and email manner
• Responsible for developing and maintaining managed care contracts
• Performs other duties as assigned by supervisor

Minimum Requirements:

• Five or more years of experience in healthcare billing & collection practices, working with Medicaid/Medicare and commercial insurance billing and credentialing process.  Behavioral Health/Outpatient billing experience preferred. 
• Working knowledge of medical billing systems/software; experience with MyEvolv a plus. 
• Experience with Medicaid’s State Eligibility systems (NJ), familiarity with CMS, state rules and guidelines and working knowledge of CPT and ICD-9/ICD-10 coding systems preferred. 
• Medical billing and coding, credentialing certification a plus. 
• BA/BS or equivalent experience preferred. 
• Attention to detail and excellent verbal and written communication skills and organization skills required. 
• Proficient in Microsoft Office Suite a plus.

Work Schedule:   Full-Time
Apply Using Job Code:   5965