Oversees accurate and timely billing across all levels of care, ensuring authorization alignment, maximizing reimbursement, minimizing denials, and maintaining payer compliance.
Requirements & Qualifications
Key Responsibilities
- Submit UB-04 and CMS-1500 claims
- Align authorized vs. billed days
- Manage per diem, case rate, and unit billing
- Monitor clean claim rate and submission lag
- Resolve rejections and underpayments
- Prepare appeals for medical necessity and authorization denials
- Collaborate with UR and Collections
- Validate contract rate accuracy
Qualifications
- 3+ years of behavioral health billing experience
- Multi-LOC experience (Detox, Residential, PHP, IOP)
- Strong UB-04 expertise
- In-network and out-of-network billing exposure
- Revenue code and CPT/HCPCS fluency
- Must be able to pass a level 2 background check
Benefits & Perks
What We Offer
- Competitive salary
- Health benefits with no co-pay or deductible
- Dental and vision benefits
- PTO and paid holidays
- 401(k) with company match
- Supportive team culture
- Highly competitive package available
Location
Florida, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago