Hybrid Billing Specialist_Allentown - Bilingual (English & Spanish) na Preventive Measures Inc

Summary: The billing specialist manages billing processes for the PA Mental Health Program. Their list

of responsibilities includes insurance verification, managing billing for clients, updating client

information, generating invoices, and processing payments. They will also be responsible for

coordinating payment schedules for self-pay customers, following up on insurance claims, posting

payments in a timely manner, helping resolve client billing issues, and other duties as assigned.

Interrelationship: Must be able to communicate with various Preventive Measures staff and clients to

navigate needs effectively. Bilingual (English / Spanish) is required.

Primary Job Responsibilities:

• Verify insurance information for new patients and referrals.

• Update insurance information for existing patients

• Call to obtain pre-authorization for recommended services and procedures.

• Explain to patients what their financial responsibilities will be.

• Inform relevant clinical staff about denials.

• Generate bills and invoices specific to customer accounts.

• Deliver invoices to clients via digital and client-required methods.

• Identify and correct inconsistencies.

• Manage Billing software systems.

• Reconcile A/R and posting of payments.

• Communicate billing and authorization concerns with Insurance Companies and Supports

Coordinators

• Prepare billing reconciliation reports and provide root cause analysis.

• Professionally interact with and engage multiple operational groups across the company and

outside clients.

• Represent the company in a professional and positive manner in all facets.

• Other duties and responsibilities as assigned.

Job Skills:

• Bilingual (English / Spanish) Proficiency is Required

• Experience in a weekly deadline environment

• Ability to multitask.

• Problem-solving

• Detailed and professional

• Excellent communication skills

• Take responsibility for individual and team projects.

• Work against a deadline 

•Microsoft Office 

• Credible and Inovalon Software knowledge is a plus.

 Education/Experience:

• Experience in Mental Health Billing a plus 

• High School Diploma or Equivalent; some college preferred. 

• 2-5 years of billing and A/R a plus

Join our Team!

Company website: https://preventivemeasuresinc.com/

Preventive Measures is committed to equal opportunity for all employees and applicants. As a proud Equal Opportunity Employer (EOE), we do not discriminate based on race, color, national origin, ancestry, citizenship status, religion, sex, sexual stereotyping, sexual orientation, gender, gender identity, gender expression, age, marital status, mental or physical disability, medical condition, genetic information, military or veteran status, pregnancy (which includes pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), or any other protected characteristic. Employment may be contingent upon receipt of and passing all job-related clearances, background checks and regulated requirements as applicable and permissible by law.