Medical Billing Specialist

Who we are:

Cyti Corp is a diverse group of hard-working and talented individuals, who are brought together by our passion for offering quality mental health care, and our absolute commitment to helping children, adults, couples & families find greater happiness and meaning in their lives.

Who you are:

A reliable team member that thrives in a constantly changing environment, and who has a passion for helping others. Someone detail-oriented with an excellent communication style.

About the role:

Cyti Corp is looking for a well-rounded, experienced, and proficient medical biller/coder to join our team! The candidate will be highly organized and can work independently to ensure timely filing of claims, A/R follow-ups, and payment posting. This is an in office position located in Las Vegas, Nevada. There will be inbound calls from patients for payments as well as outbound calls to various insurance payers for benefit verification, authorization, claims status, denials, and appeals.

Requirements:

• 3+ years of Mental Health medical billing experience required
  
• Demonstrate and apply knowledge of medical terminology and general medical office procedures including HIPAA regulations
• Knowledge of insurance processes and billing guidelines/regulations required.
• Experience with EHR
• Experience with AdvancedMD

Essential Functions:

• Resolve insurance claim rejections/denials, and non-payment of claims by payors.
• Identify trends in billing and follow-up, maintaining a working knowledge of state and federal billing guidelines in order to identify ways in which our patients can expedite resolution of insurance accounts and identify delays in processing.
• Responsible for drafting effective appeals to insurance companies for reimbursement of monies owed.
• Responsible for maintaining the daily accounts, follow-up work lists within the department while maintaining the organization’s productivity standards.
• Ensure compliance is met and process claims in accordance with contracts and policies, as well as to adjudicate claims as appropriate.
• Responsible for identifying, researching, and resolving credit balances, missing payments, and unposted cash as it pertains to billing account follow-up.
• Process, and maintain, within expectation, all correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of payment.
• Responsible for handling patient disputes and submission of issues to coding for review to ensure organizational and revenue cycle processes are followed.
• Communicate appropriately with insurance companies, patients, co-workers, and supervisors.
• Verify insurance benefits, obtain authorization as required by plans.
• Perform other duties as assigned.

Other Skills:

• Knowledge of ICD-10/CPT/HCPCS coding
• Knowledge of DSM V
• Proficient use of computers including Microsoft Office applications
• Skilled in 10-key by touch and keyboarding
• Ability to operate general office equipment
• Exceptional verbal and written communication skills
• Excellent attention to detail and ability to multi-task
• Ability to work with minimal supervision, independently, as well as in a collaborative team setting
• Strong organizational skills with the ability to prioritize and meet deadlines
• Knowledge of Commercial and/or Government Payors
• Ability to identify, research, and resolve credit balances, missing payments, and unposted cash as it pertains to billing account follow-up
  
• AdvanceMD experience a plus

Compensation: $17.00 - $21.00 DOE plus comprehensive benefits package.

For information on Cyti Psychological, including more information on employee benefits and our company culture, visit our website at https://cyticlinics.com/careers/.

Cyti Corp is an equal opportunity employer, and all qualified applicants will receive consideration for employment 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.