Medical Billing Specialist for our Substance Use Disorder Facility ( SUD )
Compensation: $90,000 - $ 120,000 Annual Salary
Benefits: Medical, Dental, Vision, Life insurance, long-term and short-term disability insurance and 401k with a match program, PTO.

Are you passionate about making a difference in others' lives? We are looking for a Medical Billing Specialist for our Substance Use Disorder Facility ( SUD ) who prides themselves on a positive attitude and dedication to providing top-notch service. We are offering COMPETITIVE PAY with AMAZING BENEFITS and great WORK LIFE BALANCE. If this is something you are looking for, we'd love to have you on board!

Position Description:

We are looking for a dedicated Medical Billing Specialist for our Substance Use Disorder Facility ( SUD ) in Lakewood, New Jersey. This is a full-time, in-person position, Monday - Friday 9am - 5pm.

Qualifications of the Medical Billing Specialist:

• 5+ years of experience in medical billing, preferably in behavioral health or Substance Use Disorder ( SUD ) treatment.

• Knowledge of Medicaid, Medicare, and commercial insurance billing for behavioral health and substance use treatment services.

• Experience with Electronic Health Records ( EHR ) and billing software such as Kareo, NextGen, or Availity.

• Familiarity with ICD-10, CPT, and HCPCS coding for behavioral health and Substance Use Disorder ( SUD ) services.

• Understanding of revenue cycle management ( RCM ), including claim submission, denials, and appeals.

• Proficiency in insurance verification, prior authorizations, and reimbursement processes for mental health and substance abuse services.

Responsibilities of the Medical Billing Specialist:

• Prepare and submit accurate claims to Medicaid, Medicare, and private insurance companies for behavioral health and Substance Use Disorder ( SUD ) services.

• Review and verify patient information, insurance eligibility, and coverage details before billing.

• Ensure all claims include correct ICD-10, CPT, and HCPCS codes specific to behavioral health and substance abuse treatment.

• Monitor claims status, follow up on denials, rejections, and unpaid claims, and initiate appeals when necessary.

• Track accounts receivable ( AR) and ensure timely collection of payments.

• Work closely with insurance providers and third-party payers to resolve billing discrepancies.

If you’re a skilled and detail-oriented Medical Billing Specialist looking for a challenging and rewarding opportunity with our Substance Use Disorder Facility ( SUD ) we want YOU to apply!

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