Behavioral Health Billing Specialist - Addiction Recovery Care

Are you looking for the best place to work?  Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees!

Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients and team members?  ARC has been leading the way and has become one of the fastest growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services and improving lives by creating opportunities for people to discover hope and live their God-given destiny!

ARC is ready to offer you “The B.E.S.T. of ARC” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors.  ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship,  and stewardship are key elements of everything we do!

We are hiring a Billing Specialist for our growing team! The role of the Billing Specialist is to ensure behavioral health claims are billed following all federal and state guidelines and requirements of payers. A Billing Specialist is responsible for processing daily billing claims in a timely and accurate manner. This job requires strong attention to detail.

Key Responsibilities:

• Review clinical documentation from EMR billing reports for accurate and complete diagnostic and procedure information. 
• Review all departmental billing guides, payer rules, and any changes to billing guidelines
• Maintain current working knowledge of Medicaid billing regulations and requirements
• Prepare clean claims to be sent to insurance companies electronically 
• Prepare electronic claims on a UB04 or CMS 1500 format 
• Actively works with the Utilization Review Department if an issue with a patient's authorization is presented
• May be required to request diagnosis or other data from providers when not recorded in the clinical documentation in the EMR, or if the information is incomplete.
• Determines the correct sequence of primary and secondary diagnoses according to provider documentation.
• Applies knowledge of ICD-10, CPT, HCPCS, and modifiers to all provider coding and billing assignments.
• Verify completeness and accuracy of all claims prior to submission.
• Ensure claims are submitted with a goal of zero errors.
• Communicate with ARC facilities and other departments to assist with answering questions when needed.
• Consult supervisor, team members, and appropriate resources to solve billing questions and issues.

Key Experience and Education Needed:

• High school diploma or GED 
• Administrative experience preferred  
• Previous Billing experience preferred
• Excellent communication and interpersonal skills
• Ability to work independently and collaboratively in a fast-paced environment

ARC full-time employees enjoy very attractive benefits packages for employees and their families to include health, dental, vision, life insurance, a wide array of ancillary insurance products for life’s needs, 401(k) plan with company matching and to ensure the work-life balance - generous paid vacation, sick, holiday and maternity/paternity leave policies.

Come join ARC and transform lives anchored in strong family relationships, social responsibility and meaningful career paths by empowering our nationally recognized crisis to career model!

Addiction Recovery Care, LLC and its affiliated entities are an equal opportunity employer.

ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.

Powered by JazzHR