Billing Specialist

Company: Skyway Behavioral Health
Location: Skokie
Posted on: May 3, 2022

Job Description:

Job DescriptionCompany: Skyway Behavioral Health Title: Billing SpecialistFLSA Status: ExemptLocation: Skokie, IL Approved by: Executive Leadership Skyway Behavioral Health is an innovative behavioral health center that goes beyond the treatment of psychiatric symptoms to address underlying biological, behavioral, and psychosocial causes of psychiatric disorders. Our belief is that maladaptive coping strategies are adopted by patients for survival. While adaptive at one time or in specific ways, these coping strategies are now preventing patients from living the life they want to live. Our treatments teach patients new skills that enable them to serve as their own behavioral therapists- thereby helping them to maintain recovery and generalize skills to their home environments. At Skyway, we provide a fully immersive, intensive, whole-person experience that covers everything from neuroscience to nutrition. We believe that the path to recovery from traumatic stress requires a focus that encompasses not just symptom management but also the treatment of underlying individual, systemic, developmental, and familial traumas. We use leading-edge, specialized, evidence-based treatment modalities to help our patients address the trauma and pain behind their behaviors and diagnoses – thereby empowering them to make lasting changes in their lives. Our team has extensive clinical and leadership experience in the areas of traumatic stress, eating disorders, mood disorders, and personality disorders/pathology. At Skyway, we are committed to building a culture and team that cares for one another such that we may care for our families, communities, and clients. At Skyway, we believe that recovery is not only possible but also attainable for all patients. Role Description The Billing Specialist is a critical member of the revenue cycle team and is responsible for working collaboratively with the revenue cycle manager, other members of the billing team and adjacent departments that are responsible for all the financial elements associated with our client's clinical services. Billing specialist must be detail oriented, organized, and have a thorough understanding of processing insurance claims accurately and timely. A critical element of the Skyway mission is to ensure that all team members, even those not providing direct clinical care, know and believe they can change and improve patient's lives; and when serving with integrity and in alignment with the Skyway Mission, we create a reverberating positive impact on the patientsEssential Functions/Core Responsibilities • Responsible for the accurate timely submission of insurance claims and the collection of designated portion of the accounts receivable.• Accurately encodes payments on transmittal forms for batching.• Proficient in medical (behavioral health) and billing terminology.• Basic understanding of CPT4, HCPCS, modifiers, ICD 10 • Responsible for the correction of claim rejections and resubmission of rejected claims, and the resolution of all delinquent patient accounts, per guidelines, in order to secure payment Answers the telephone professionally and in a timely manner; directs calls appropriately.• Provides input to revenue cycle manager to identify and correct issues preventing clean claim submission.• Maximum accurate reimbursement with the goal of reducing reoccurring billing and collection errors and improving clean claim pass rate.• Able to answer routine questions from patients concerning payments.• Treats client with respect, maintains confidentiality.• Demonstrates the ability to collaborate with insurance companies with billing problems.• Orders itemized bills for patients and insurance companies when requested.• Demonstrates a good working relationship within the department and with other departments.• Demonstrates the ability to be flexible and organized.• Clear understanding of HIPAA regulations• Maintain completion of all competencies associated with role and in accordance with Skyway Behavioral Health policies and subsequent Joint Commission standards.• Supports the organization's mission, vision, values and strategic initiatives. Develops, implements, and improves processes to ensure that established policies, goals, and objectives are achieved. • Develops and administers policies and procedures to accomplish department-specific and organizational initiatives. Ensures compliance with all applicable local, state, federal regulations, and guidelines. • Perform other duties as assigned. Minimum Requirements• 2 or more years of experience in a clinical or medical setting. • High school/GED or higher, medical billing/coding training/certification or equivalent experience. • Exceptional organization skills, reliable and timely.• Excellent interpersonal and communication skills that are clear, respectful, and considerate of other's perspectives.• Strong computer skills, able to quickly learn billing software.• Ability to work on a computer for extended periods of time.• Reliable form of transportation to work.• Proficiency in Microsoft products (Word, Outlook, Excel), and familiarity with use of EHR systems.Additional Preferred Skills • A passion for coaching, mentorship, and team-development. • A problem-solving orientation and eagerness to identify process gaps and implement practical solutions.• Ability to work independently as needed, recognizes the need for support and demonstrates the willingness to ask for help.• Ability to manage multiple priorities and respond with confidence during challenging or chaotic situations. • Someone who embodies Skyway values: o Embraces the whole person. o Commits to innovative research-based programs. o Believes we are better together. o Celebrates expressions of diversity. o Believes in service and supporting our communities.o Views leadership as a privilege to elevate others to their highest potential. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to stand; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; and taste or smell. The employee is occasionally required to walk and climb or balance. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.Benefits:• Medical benefits- Blue Cross Blue Shield of Illinois• Dental benefits-Guardian• Vision benefits-Guardian• Short Term Disability-Guardian• 401K Safe Harbor Match- TransAmerica • PTO• Paid sick time• Regular clinical supervision• Collaborative professional growth developmentWork EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is occasionally exposed to wet and/or humid conditions and outside weather conditions. The noise level in the work environment is usually moderate. Work hours may vary in this leadership role and may require responding to phone calls from direct reports during off hours.Skyway Behavioral Health is proud to be an Equal Opportunity Employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Keywords: Skyway Behavioral Health, Skokie , Billing Specialist, Accounting, Auditing , Skokie, Illinois