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