Job Description

This is a Remote Position

About Zealie:

Zealie is a fast-growing Medical Billing Services company specializing in the Behavioral Healthcare industry. Our clients are substance use disorder treatment, addiction recovery, and mental health treatment centers that are saving lives on a daily basis. Our state of the art proprietary technology provides data analytics and revenue prediction tools to our clients to help them make strategic business decisions to grow their business. We are committed to delivering exceptional products and services to our clients and believe that our Utilization Review team plays a crucial role in achieving this mission. We are seeking motivated individuals with a desire to be a part of a winning team.

Job Summary:

The Billing Specialist is a crucial role in Revenue Cycle Management. This position ensures accurate and efficient billing processes, effective communication within the team, and implementation of any payer rules.

Responsibilities and Duties:

Claim Verification and Submission:

- Receive census information from the Management Team.
- Verify hour requirements for all outpatient claims
- Ensure that authorization has been obtained for each level of care.
- Submit claims for assigned facilities and any pending dates of service with obtained authorization.

Billing Software Management:

- Add new intakes into the billing software, Collaborate MD.
- Verify new admissions' demographics and claims addressed with the Verification of Benefits (VOB).

Process Monitoring and Communication:

- Pull daily billed reports for auditing
- Verify that billing has been submitted correctly and efficiently.
- Communicate with Team Lead on any outstanding tasks

Operational Efficiency:

+ Monitor and ensure that all billing processes are accurate and timely.
+ Collaborate with internal teams to resolve any billing-related issues or discrepancies.

Qualifications and Skills:

Experience:

- Proven experience in healthcare billing, with a strong understanding of claim verification and submission processes.
- Familiarity with billing software, particularly Collaborate MD, is preferred.

Education:

- High School Graduate or equivalent; additional certification in medical billing or coding is a plus.

Skills:

- Communication: Excellent verbal and written communication skills to effectively coordinate with team members and address billing issues.
- Organizational Skills: Strong ability to manage multiple tasks and priorities in a dynamic environment.
- Technical Proficiency: Experience with healthcare billing software and electronic health record (EHR) systems.
- Analytical Skills: Ability to analyze billing data, resolve issues, and ensure accurate claim submissions.
- Attention to Detail: High level of accuracy and attention to detail in all aspects of billing and claims processing.

Additional Preferred Experience:

+ Familiarity with the Behavioral Healthcare industry, including billing for substance use disorder treatment and mental health services.
+ Prior experience working remotely is a plus.