Medical Billing Specialist - Medical Detox Centers - FT DAYS
Company: Gallus Detox
Location: Denver
Posted on: May 28, 2023
Job Description:
Medical Billing Specialist Medical Detox Centers FT DAYS -
Careers At Gallus Medical Detox Centers Back To Openings Medical
Billing Specialist - Medical Detox Centers - FT DAYS Department:
Services Location: Denver, CO
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Description - Medical Billing Specialist Join us in our exciting
downtown Denver office for a new opportunity. We are seeking a
Medical Billing Specialist to assist with -our patient financials.
White glove service and unscrupulous integrity -is a must for this
position. This position will start in our office 5 days per week
for the first three months, with a possibility to transition to a
hybrid model of 3 days in the office and 2 from home after the
first three months. Prior healthcare billing experience is required
along with behavioral health experience, if possible. This position
comes with a full benefit package including a 4% matching 401K and
-free parking! Position : Medical Billing Specialist Reports to:
Controller Location: Denver Office Schedule: FT, 40 hours per week,
M-F 8am-5pm - In office first three months. 3 days in office/2 days
at home Hybrid possible after 3 months. Overview: Gallus is a
growth-oriented, customer-focused company that seeks to improve
access to care of individuals struggling with substance use
disorders. The Medical Billing Specialist will serve as a connector
between the admissions team, where individuals begin their patient
journey at Gallus, the full-service insurance billing company
vendor in place and the finance department. A solid background in
medical billing, excellent patient service skills and in-depth
working knowledge of insurance is essential for success in this
role. Responsibilities :
- Pre-authorizations and Verification of Benefits: Work with
admissions staff to ensure appropriate collections of co-pays,
deductibles and/or self-pay fees. Candidates should have experience
reading verification of benefits reports and working with or for a
medical billing company internal function. Ensure that the clinical
teams at each facility complete pre-certifications and utilization
reviews so insurance authorizes services without delays.
- Patient Communication: Evaluate and communicate patient
financial responsibility based on insurance verification data and
medical cost estimates. Collect payments for additional services,
extended stays or amounts not covered by insurance. Handle all
patient billing questions and concerns. Obtain additional
information needed from patients as necessary.
- Coding and Medical Record Completion: Working knowledge of all
coding rules and the ability to implement CPT and ICD codes and
appropriate use of modifiers as the company expands into additional
treatment services.
- Billing: Follow up and administration of patient fee agreements
and resolution of changes in length of stay. Liaison to the billing
company in assisting with their timely and complete claim
processing. Main point of contact with patients to resolve
questions they have about cost of treatment.
- Accounts Receivable and Collections: Post payments,
adjustments, and refunds accurately. Process insurance
correspondence that is sent to corporate office and assist billing
company with investigation of denied claims and related appeal
processes. Reconcile patient accounts after all insurance claims
process to determine necessary refunds or balance billing. Submit
accounts to collections agency when necessary. Communicate with
patients and guarantors to clarify billing issues and resolve
payment issues.
- Reporting: Review reporting from billing company to reconcile
internal insurance A/R, find trends in reimbursement rates and days
to pay by insurance company, etc. Skills/Minimum Requirements:
- Knowledge and experience in behavioral health (preferred)
- Knowledge of KIPU or other EMR/CRM systems (preferred)
- Experience with Collaborate MD (preferred)
- Attention to detail, superior organizational skills, and
critical thinking ability
- Ability to maintain patient confidentiality and information
security and adhere to HIPAA guidelines and regulations
- Function as a contributing team member while meeting deadlines
and productivity standards
- Commitment to excellent patient customer service while
maintaining the highest degree of professionalism
- Associates Degree required, Bachelors Degree preferred
- Exceptional MS Office experience required
- 3-5 years' experience as a medical biller with excellent record
of collections
- Working knowledge of CPT and ICD-10 coding systems; coding
certification preferred but not required
- 3 years of experience in a customer experience role
Compensation: $60,000-$70,000 per year Gallus Medical Detox
Centers'?Mission: ?Gallus Medical Detox?is a growth oriented,
customer focused company that seeks to improve access to care for
individuals struggling with substance use disorders. The Company
provides the highest quality inpatient medical detox services using
proprietary, evidence-based IV therapy and oral medication
protocols that avoid cross addiction, delivered by highly trained
medical staff, in a safe and comfortable patient environment that
optimizes treatment outcomes. Our vision is to be the best, first
step in overcoming substance use disorders for patients needing
medical detox; to be nationally recognized as a Center of
Excellence for medical detoxification services, leading the field
in the science, professional education, staff training and customer
experience. GMDC provides equal employment opportunities to all
employees and applicants for employment and prohibits
discrimination and harassment of any type without regard to race,
color, religion, age, sex, national origin, disability status,
genetics, protected veteran status, sexual orientation, gender
identity or expression, or any other characteristic protected by
federal, state or local laws. This policy applies to all terms and
conditions of employment, including recruiting, hiring, placement,
promotion, termination, layoff, recall, transfer, leaves of
absence, compensation, and training. START YOUR APPLICATION or
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Keywords: Gallus Detox, Denver , Medical Billing Specialist - Medical Detox Centers - FT DAYS, Accounting, Auditing , Denver, Colorado
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