Billing Specialist

at  Catholic Charities Diocese of Trenton

JOB SUMMARY: Responsible for the preparation and submission of accurate and timely claims to all payers active with the behavioral health programs of the agency.

• Prepare and review insurance claims and electronic billing in accordance with Medicaid, Medicare and third party billing policies and procedures.
• Review CPT and ICD-9 codes before billing is submitted.
• Assist programs at start-up with service entry – setting up procedures and coordinating information to ensure timely claims filing.
• Submit claims and supportive material as required.
• Post payments to client accounts.
• Research outstanding and/or denied claims.
• Identify and resolve client billing issues, complaints and questions. Explain policies to clients.
• Learn and use all aspects of the Millennium software that affect client insurance records, billing and follow-up.
• Maintain confidentiality; adhere to all HIPAA guidelines/regulations.
• Prepare monthly and quarterly reports as needed.