Are you an experienced healthcare billing Clerk passionate about what you do? Are you looking for an opportunity to grow with an established healthcare organization? Do you enjoy the ability to work remotely while maintaining the cohesiveness of a team?

WellPsyche Medical Group is offering an exciting opportunity for experienced healthcare billers to become part of our winning team. WellPsyche provides patients with access to expert behavioral health providers from the comfort of their home. WellPsyche provides services to tens of thousands of patients each year and we are looking to grow our successful model at an increasing rate. We are looking for leaders who have character, a positive attitude, integrity, and the motor needed to get the job done. The culture of our billing team, like that of the entire organization, is one of inclusivity, continuous improvement, and data driven results. If you want to be the best version of yourself and make a positive impact in the lives of thousands of people as they improve their lives, then this is the right position for you.

Position Summary

Provides data entry functions and is responsible for follow up paymen posting process. Ensures timely and accurate tracking of payments, denials, overpayments, underpayments, and adjustments on the patients current/outstanding accounts receivables via phone and or electronic contact with the payer.

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Work Location: Remote

Key Responsibilities

• Follow up on submitted claims to ensure payments are processed correctly based on contracted rates and quoted patients benefits.
• Follow up on payments in a timely manner
• Review and resolve correspondences and overpayments
• Submitting Appeals
• Re-Submission of claims either manually or electronically per payer
• Submitting corrected claims
• Applying payments
• Resolving balances
• Understanding and being able to read Explanation of Benefits.
• Knowledgeable of payor guidelines and payment methodologies
• Performs client invoicing and third-party claims submission
• Enters client updated data into the system.
• Ensure that all services documented in the patient’s records are coded with appropriate ICD-9/ICD 10 and CPT codes
• Maintains confidentiality of all patient information.
• Performs job in compliance with organizations policies and procedures as well as community standards and applicable laws.
• Upon request, pulls documentation and organizes for all internal and external audits.
• Performs additional duties and responsibilities as deemed necessary.
• Provide weekly reports on trends

Skills Knowledge and Expertise

• Excellent customer service skills via Phone, Email and In-Person
• Past experience following up for billing and unpaid claims
• Knowledge of ICD-9/ICD-10 and CPT coding principles, coding
• Strong written and verbal communication skills
• Must be able to work in a fast-paced environment and handle multiple tasks, work with interruptions
• Able to work with diverse populations (patient, staff, physicians)
• Supports a team approach
• Demonstrated ability to maintain composure when confronted by difficult situations and to respond professionally

Preferred:

• Minimum two years of claims processing experience, working knowledge of EMR system knowledge (Office Ally experience is a plus).
• Associate Degree may substitute for one year of experience.
• Bachelor's Degree may substitute for the experience requirement.
• Three years of relevant medical billing experience may be substituted

Benefits

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance