ESS Overview: Effective School Solutions (ESS) is one of the country’s leading providers in school-based mental health services for K-12 students. Serving over 4,000 students across nine states in the Northeast, Mid-Atlantic, and the West Coast regions, our company was founded based on the concept of offering the types of higher acuity clinical care that students would normally receive in a private practice or private school setting within the public-school building. We are currently seeking a motivated and detail-oriented individual to join our team as Mental Health Claims Biller. This is an excellent opportunity for someone looking to contribute to the success of the company while maintaining a flexible part-time schedule.
Position Overview: As a Mental Health Claims Biller, you will play a crucial role in ensuring accurate and timely reimbursement from third-party payers. This position involves working closely with the finance and billing teams to optimize revenue streams and maintain compliance with reimbursement regulations.
Prepare, submit, and track reimbursement of mental health claims to insurance payers through third party billing systems.
Review and verify accuracy of claim information, including patient eligibility, patient demographics, procedure codes, and insurance details.
Documentation and Record Keeping:
Maintain organized and up-to-date records of reimbursement-related documents.
Ensure compliance with documentation requirements and standards.
Collaborate with internal teams, including billing, finance, and clinical staff, to resolve any issues related to reimbursement.
Communicate with third-party payers to address inquiries, denials, and appeals.
Assist in analyzing reimbursement trends and identifying opportunities for process improvement.
Ensure adherence to all relevant compliance standards in reimbursement processes.
Previous experience in a healthcare or finance-related role is required.
In-depth knowledge of third-party reimbursement processes and regulations.
Strong attention to detail, showcasing precision in tasks and documentation.
Excellent collaboration and interpersonal skills, with the ability to work seamlessly within a team environment.
Flexibility in adapting to changing priorities and the dynamic nature of reimbursement processes.
Proficient in using Microsoft Office Suite and related software.
This is a part-time position, with flexible hours based on the candidate’s availability. Approximately 5-10 hours per week initially with up to 15 hours per week at scale.
ESS is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment on the basis of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class.
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