PLEASANT BEHAVIORAL HEALTH SYSTEMS
Pikesville, MD, USA
About the Job CANDIDATES MUST RESIDE IN MARYLAND ONLY! Responsibilities: The Medical Billing Specialist files timely and complete appeals electronically, telephonically, or manually in accordance with payer guidelines. Using a thorough understanding of payer contracts and claims analysis, the medical Billing Specialist determines why the claims were denied or underpaid and requests claims adjudication corrections. Provides supporting documentation or refers payers to reimbursement agreements for the resolution of nonpayment. Billing Specialist researches and pursues reimbursement for medical claims that were denied or did not receive payment also complete monthly audits. The Medical Billing Specialist files timely and complete appeals electronically, telephonically, or manually in accordance with payer guidelines. Using a thorough understanding of payer contracts and claims analysis to determine why the claims were denied or underpaid, and request claims...