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Community Mental Health Center, Inc. Medical Billing Specialist in Lawrenceburg, Indiana

Our Company: Community Mental Health Center, Inc. is a provider of comprehensive mental health services, offering inpatient, outpatient, home-based, school, and community-based programs to individuals and families in Dearborn, Franklin, Ohio, Ripley and Switzerland counties in Southeastern Indiana. CMHC offers a full continuum of care to individuals and families of all ages. CMHC follows the recovery model which emphasizes and supports each individual's potential for recovery. Recovery is seen as a personal journey that utilizes supportive relationships, empowerment, social inclusion, and coping skills.

General Responsibilities: The Billing Specialist will execute the Center's billing and collection procedures and patient account functions.

Qualifications:

  • High school diploma required.

  • Accounts Receivable background with billing and collecting for medical services using the standard UB 04 (837F) and CMS1500 (837P) claim forms.

  • Experience in patient accounting or related third party billing/collection with in-depth knowledge of specific third party payer requirements.

  • Requires an understanding of medical terminology and medical coding practices (CPT4; HCPCS; ICD-10). AAPC or AHIMA coding credentials preferred.

  • Requires knowledge and proper application or remote electronic inquiry systems for Medicare, Medicaid and Commercial payers.

Day-to-Day Expectations:

  • Review patient charts and documents for accuracy

  • Ensure all codes are current and active

  • Follows coding guidelines and legal requirements to ensure compliance with federal, state, and payer regulations

  • Submits claims for CMHC's primary healthcare clinics.

  • Process denials for CMHC's primary healthcare clinics by investigating why denials were issued and correcting claims.

  • Supports accounts receivable department by performing AR analysis for all business lines

Why You Should Apply?

  • Excellent Health Benefits

  • Profit Sharing Plan (401k)

  • Tuition Reimbursement

  • PTO Plan

  • Paid Holidays (8 days)

  • Flexible Scheduling

  • Work/Life Balance

  • Employee Assistance Program (EAP)

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