Billing Specialist
Meadows of Wickenburg Inc
Summary
Enter all patient demographics into the billing software. Entering and submitting billable claims to insurance companies, cross checking in Medical EMR to ensure authorization is on file prior to submitting claims. Verifying client policy is active via portal during the billing process before submitting claims. Filing corrected claims and fixing all rejected claims. Updating Action list for all UR issues while billing.
Job description
Position Function/Overview
Enter all patient demographics into the billing software. Entering and submitting billable claims to insurance companies, cross checking in Medical EMR to ensure authorization is on file prior to submitting claims. Verifying client policy is active via portal during the billing process before submitting claims. Filing corrected claims and fixing all rejected claims. Updating Action list for all UR issues while billing.
Primary Duties/Responsibilities
- Promote the mission, values, and vision of the organization.
- Provide excellent customer service for clients; practices confidentiality and privacy protocols in accordance with HIPAA requirements.
- Research plans and provides the Utilization Review team with information about pre-certification, and policy details.
- Work with Utilization Review Specialists to achieve the highest levels of care for the client.
- Ensure all required insurance standards and regulations are met.
- Performs other duties as required.
Qualifications Required
- High School Diploma or GED equivalent with combination of education and work experience, required; bachelor's degree, preferred.
- Minimum of two (3) years' experience in Substance Abuse/ Mental Health Medical Billing and Coding
- Knowledge of Third-Party payers, billing requirements for in network and out of network providers
- Knowledgeable in the field of Substance Abuse treatment.
- Relevant computer software and hardware applications proficiency – Word, Excel, PowerPoint, Outlook, Electronic Medical Records, Billing Systems and/or other scheduling applications; KIPU preferred, Collaborate MD
Skills
- Strong communication skills, both written and verbal.
- Ability to work independently, as well as part of a team.
- Manage multiple tasks and set priorities.
- Ability to handle highly sensitive and confidential information.
- Ability to work in a fast-paced, high-energy environment.
- Excellent interpersonal and customer-facing skills.
- Ability to work accurately, with attention to detail.
Requirements
- High School Diploma or GED equivalent with combination of education and work experience, required
- Bachelor's degree, preferred
- Minimum of two (3) years' experience in Substance Abuse/ Mental Health Medical Billing and Coding
- Knowledge of Third-Party payers, billing requirements for in network and out of network providers
- Knowledgeable in the field of Substance Abuse treatment
- Relevant computer software and hardware applications proficiency – Word, Excel, PowerPoint, Outlook, Electronic Medical Records, Billing Systems and/or other scheduling applications
- KIPU preferred
- Collaborate MD
- Strong communication skills, both written and verbal
- Ability to work independently, as well as part of a team
- Manage multiple tasks and set priorities
- Ability to handle highly sensitive and confidential information
- Ability to work in a fast-paced, high-energy environment
- Excellent interpersonal and customer-facing skills
- Ability to work accurately, with attention to detail
Company overview
Meadows of Wickenburg Inc is a specialized mental health treatment facility located in Wickenburg, Arizona, providing comprehensive behavioral health services. The organization focuses on delivering evidence-based treatment programs for individuals struggling with various mental health conditions, substance use disorders, and co-occurring disorders. As a healthcare provider in the mental health sector, Meadows of Wickenburg offers a range of therapeutic services including inpatient treatment, outpatient programs, and specialized care for complex psychiatric conditions. The facility operates within the broader mental healthcare industry, serving patients who require intensive clinical intervention and structured therapeutic environments. With its Arizona location, the organization contributes to the regional mental health infrastructure, addressing the growing need for specialized behavioral health services. The treatment center emphasizes a holistic approach to mental wellness, combining clinical expertise with supportive care to help patients achieve sustainable recovery and improved quality of life.