Job description: Please apply at www.aama.org. Go to careers and look for the position.
AAMA in Houston, TX, is a Non-Profit 401 C-3, that works with individuals battling substance use disorders. AAMA is looking for an experienced Medical Billing Specialist to join our amazing team. Our ideal candidate has experience billing for substance use disorder programs wit is a self-starter, punctual, and hard-working. Their duties include calling clients to discuss payment and develop reasonable payment plans, entering client data into administrative systems, and recording information about outstanding claims.
Please apply online at www.aama.org. Got to Career page on AAMA's website.
Duties & Responsibilities Overall:
- Perform posting charges
- Perform completion of claims to payers
- Conduct duties in a professional and timely fashion
- Submit billing data to the appropriate insurance providers primarily Medicare, Medicaid
- Process claims
- Resolve denial instances
- Achieve maximum reimbursement for services provided
- Deploy, maintain, and report on various programs
- Do Medicare and other insurance reviews
- Conduct audits
Credentialing/Enrolling:
- Review and process counselors and therapist initial supporting documentation.
- Follow up with counselors and therapists to ensure all information is obtained.
- Complete, timely follow-up on all applications.
- Ensure that re-credentialing is complete and timely to prevent any lapse in enrollment.
- Maintain confidentiality of all counselor and therapist information
- Enroll OTP in Medicare/Medicaid Advantage plans
Billing:
- Verify coverage and eligibility for substance use disorder services and medication services
- Post charges and payments to correct accounts
- Communicate with insurance providers, counselors, therapists, and clients
- Review client bills and correct any missing or inaccurate information
- Collect unpaid claims and clear up discrepancies by telephone, fax, or email communication.
- Use of insurance carrier portals for eligibility and claims information
- Investigate and appeal claims that were denied
- Complete data entry to update spreadsheets and reports
- Work with clients to set up payment plans
Soft Skills:
- Effective communication skills Basic computer skills, such as sending emails, typing, and using spreadsheets
- Interact virtually with clients
- Creative problem-solving skills
- Work independently
- Collaborate well with others
- Multitask
Qualifications
- Effective communication skills
- Basic computer skills, such as sending emails, typing, and using spreadsheets
- Interact virtually with clients and patients
- Creative problem-solving skills
- Work independently
- Collaborate well with others
- Knowledge of insurance guidelines, including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
- Competent use of computer systems, software, and EHRs
- Familiarity with CPT Coding
- Experience with behavioral health billing
- Experience with behavioral health credentialing
- Exceptional Customer Service skills for interacting with clients regarding medical claims and payments, including communication with patients and family members
- Ability to work well in a team environment
- Ability to triage priorities and handle conflict in a reasonable fashion
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
- Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
- Ability to multitask
- At least 2-3 years of recent medical billing experience
- Candidate must agree to a background check
- Able to pass a Drug Test
- Associate's degree or higher
- Minimum of 3 years experience in medical billing or any coding industry
- Proficient in electronic medical records
Job Type: Full-time
Pay: $18.00 - $21.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- Medicaid/Medicare Billing: 2 years (Required)
Work Location: In person