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About the Role
As a Medical Billing Specialist on our Client Access team, you’ll play an important role in verifying insurance benefits, identifying coverage requirements or barriers, and helping ensure accurate information is available before services begin. We’re looking for someone who brings strong attention to detail, follow-through, and a client-focused approach to every verification.
Responsibilities
- Verify insurance eligibility and behavioral health or substance use disorder benefits before services are provided
- Use payer portals and phone calls to confirm deductibles, copayments, coinsurance, out-of-pocket maximums, network status, limitations, and authorization requirements
- Document verification details accurately and communicate benefits, estimated patient responsibility, and coverage concerns to appropriate teams
- Follow up on discrepancies, coverage changes, and pending verifications within established timelines
- Escalate coverage barriers promptly and maintain organized supporting documentation
- Follow HIPAA and compliance guidelines and support revenue cycle functions as needed
Requirements
- High school diploma or equivalent required
- At least 1 year of experience in insurance verification, patient access, and/or medical billing
- Knowledge of eligibility, benefits, and patient responsibility
- Strong attention to detail, organization, communication, and follow-through
Skills
- Attention to detail
- Follow-through
- Client-focused approach
- Organization
- Communication
Location
- Remote
- CT
- NY
- NJ
- MA
Work Type
- Remote
- Full-time
Experience Level
- 1 year of experience
Education Level
- High school diploma or equivalent
Salary/Compensations
- $22.00 to $24.00 per hour
Benefits
- Comprehensive benefit package
- Paid Time Off (which increases after 1 year with Mountainside)
- Paid holidays including a Multicultural Holiday
- 401(k) with employer matching
- Monthly $75.00 wellness reimbursement
About the Company
- Mountainside Treatment Center is a dynamic, fast-paced and growing recovery facility that values innovation and an obsession with providing Best in Class service to our Clients.
- Founded in 1998, we are a leading behavioral healthcare provider dedicated to treating alcohol dependency and drug addiction.
- Accredited by The Joint Commission and CARF for its high standards of care, Mountainside seeks out passionate and talented individuals to join its staff.
- We believe that every employee, regardless of position, plays a vital role in our success.
- We strongly prefer all employees to be fully vaccinated for Covid-19 (including regularly scheduled boosters) and the Flu as recommended by the CDC.
Equal Opportunity
- Mountainside is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities