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Building quality global teams that drive efficiency and results
Billing Coordinator
Location
South Africa
Posted
54 days ago
Salary
0
Seniority
Senior
Job Description
Billing Coordinator
ReWorks Solutions
• Oversee all billing processes and insurance authorizations. • Submit new authorization requests and follow up on expiring authorizations. • Run monthly billing and authorization reports to ensure all records remain up to date. • Communicate daily with insurance payors regarding authorizations, claims, and billing inquiries. • Follow up on billed claims to ensure timely processing and payment resolution. • Maintain accurate records and documentation related to billing and insurance processes. • Assist with resolving claim discrepancies, denials, and billing issues. • Ensure all billing activities are completed accurately and within required timelines.
Job Requirements
- Previous experience in billing coordination, medical billing, or insurance authorizations preferred.
- Strong organizational and time-management skills.
- Excellent communication and follow-up abilities.
- Computer savvy with proficiency in Microsoft Office applications, including Word, Excel, and Outlook.
- Ability to work independently and manage multiple tasks simultaneously.
- Strong attention to detail and problem-solving skills.
- Experience working with insurance payors and claims processes is advantageous.
Benefits
- Comfortable working U.S. hours
- Remote work from home
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Role Description Southwest Behavioral and Health Services is seeking a dedicated and detail-oriented Billing Specialist who can help us fulfill our mission: “Delivering compassionate care to enhance lives and improve communities.” We are looking for someone who enjoys coordinating with people, is organized, and possesses excellent communication skills. Billing Specialist I is responsible for accurate and timely billing of electronic and hardcopy Behavioral Health claims. Key responsibilities include: - Creating and submitting a large volume of electronic HCFA claims via the 5010 837p formats. - Creating and submitting electronic copy UB04 claims for SBH Level I services. - Creating reports from SBH systems to identify billed/denied/paid services and work to completion. - Ensuring 95% of claims are billed within 2 months. - Resolving issues with unpaid claims to ensure 90% of claims are in a paid status within 5 months. Qualifications - High School Diploma or G.E.D.; Associates degree preferred. - Minimum 1 - 2 years medical billing experience, including at least 1 year of electronic claims submission required. - Commercial insurance billing and accounts receivable experience preferred. - Experience with a variety of contractual reimbursement arrangements. - Medical and Billing Certification preferred. Requirements - Submits timely and accurate electronic and/or hardcopy behavioral health claims (New, Resubmit, and Adjustments). - Identifies, researches, and resolves unbilled encounters and escalates issues to Manager as needed. - Identifies, researches, and resolves denied encounters within 6 months of service date. - Creates reports of billed/paid/not-billed for bi-weekly review with Billing Manager. - Keeps Manager informed of bi-weekly production of claims and problems interfering with successful claims submission. - Responsible for thorough understanding of SBH, RBHA, and other payer billing requirements and procedures. - Responsible for accurate record keeping of claims billing. - Assists in maintaining claim billing process and procedure manuals. - Utilizes Manager and the CFS team to discuss, enhance, and resolve issues. - Additional job duties may be required to meet the needs of the program and/or department. Benefits - 3.3 weeks of PTO your 1st year of employment, with increased accruals after continued service! - 10 paid holidays. - Low-cost medical, dental, and vision insurance, short-term/long-term disability, and life insurance for employees. - 40% company match up to a 10% deferral into your SB&H retirement account. - Career Development – Benefit from our culture of internal promotion! - Tuition reimbursement program & discount degree programs to help with higher education goals. - Employee Assistance Program, Health & Wellness, and much more!


