Medical Billing Specialist (Outpatient Therapy) at Mental Edge Counseling, LLC. – Dover, Delaware

About Us:
We are a mission-driven outpatient mental health practice with offices in Delaware and North Carolina dedicated to delivering exceptional care to our clients. To support our operations, we are seeking a Medical Billing Specialist.

Are you:

• A motivated & driven professional with minimal experience in medical billing?
• Eager to contribute to the growth of a thriving practice while advancing your own professional development?
• Looking for a workplace that values you as an individual and not just a number?
• Seeking a work/life balance with 136+ hours of PTO with competitive pay?

Key Responsibilities:

• Claims Management: Review and resolve claims on the issue log daily, addressing rejections, denials, and incomplete claims. Resubmit corrected claims within a defined timeframe (24-48 hours).
• Claims Issue Resolution: Address rejections, denials, and incomplete claims by contacting payers and resubmitting corrected claims promptly.
• Aging Report Management: Monitor and follow up on aging claims, prioritizing accounts over 30 days weekly and escalating high-balance claims.
• Insurance Communication: Communicate with payers to resolve claim issues, clarify denial reasons, and obtain claim status updates.
• Payment Reconciliation: Match payments to claims, ensuring accurate posting in the billing system. Resolve discrepancies or partial payments promptly.
• Reporting: Generate weekly reports summarizing claim resolutions, aging accounts progress, and any recurring payer issues.
• Patient Account Management: Prepare and distribute patient statements monthly. Address patient billing questions and disputes professionally and efficiently.
• Team Collaboration: Work closely with other billing staff to ensure seamless workflows and cross-functional coverage when needed.

Benefits:

At Mental Edge Counseling, LLC, we pride ourselves on creating a supportive and rewarding atmosphere for our team. As a Medical Billing Specialist with us, you will enjoy:

• Competitive Compensation with consistent opportunity for continued growth
• Comprehensive Benefits: Access to health, vision, and dental insurance.
• Ample PTO: Start with 136+ hours of paid time off that increases with longevity, plus 2 additional ‘Mental Health’ PTO days.
• Retirement Benefits: Newly added retirement benefits for those who will be with the team for the long haul.
• Professional Development: Receive paid training and certifications to enhance your skills.
• Strong Support System: Benefit from our extensive administrative support team.
• Collaborative Work Environment: Be part of a dynamic team that values collaboration and teamwork.

#ZR

Qualifications:

• Minimum of 2-3 years of medical billing experience, ideally in behavioral health or outpatient services, with a focus on accounts receivable and patient account management.
• Medical Coding Experience preferred, but not required.
• Proficiency in medical billing software and electronic health records (EHR) systems.
• Strong understanding of CPT/ICD-10 codes, insurance processes, and claims lifecycle.
• Exceptional organizational skills and the ability to prioritize tasks in a fast-paced environment.
• Proficiency in the Microsoft Suite (Excel, Word, Powerpoint, etc)