One Behavioral/Alara Health Care PLLC has dedicated years of experience and expertise in the Houston area to provide comprehensive outpatient and inpatient behavioral health and psychiatric care for adults and children in our local community. One Behavioral is constantly on the path to growth and new development. We are looking to add a Billing Associate/AR Specialist to our team that will contribute to our mission along with embodying the same values as us. Along with patient satisfaction, employee satisfaction is at the top of our list of priorities. We look forward to the possibility of welcoming new minds to our team and are hopeful to find a good fit for this position. Management Partner Macrise Tech Solutions.
Role and Responsibilities
- Check daily denials, review their ERAs, report any trend to the immediate supervisor, and fix routine denials on the same day.
- Respond insurance, account balance, refund and other billing related chat and queries of PSR and other TBH staff and queries from patient.
- Check daily denials status account and run weekly and monthly denials and aging report.
- Review patient account balances, answer their queries and make tasks for the collection team.
- Contact with Providers if need any addendum in the claims or if need to change DX codes.
- Contact payer for OON, prior authorization, DX, and network issues. Do a regular follow up on specific denials and create a ticket for ECW for any system related issue.
- Coordinate with billing manager to achieve monthly, quarterly, and yearly denials targets.
- Work on TMS, Spravatto, Psych Testing claims.
- Report issues and trends and about payments immediately to Billing Manager.
- Collect and review documents and submit requested documents to insurance to appeal claims.
- Resolve Patient’s queries coming on chat and create tasks for refund.
- Help Billing Manager in trainings and operations.
- Help team members on routine issues and guide them to fix rejections.
- Coordinate with the US team to submit a medical request to insurance.
- Work on adjustments, claims sitting for adjustment follow up with insurances and apply final adjustment or take action accordingly.
- Attend weekly/bi-weekly meetings with the billing manager.
- Maintain a healthy work environment and follow office etiquette.
Note: (We are located in Wapda Town)
Job Type: Full-time
Salary: Rs40,000.00 - Rs70,000.00 per month
Ability to commute/relocate:
- Lahore: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Medical Billing: 2 years (Preferred)
Language:
- English (Preferred)
Shift availability:
- Night Shift (Preferred)
