Lead Billing Specialist
At Affect Therapeutics, we are a mission-driven company where your work directly and immediately impacts the well-being of others. You will make a tangible difference in people's lives from day one. By providing medical and behavioral services through our digital recovery program, we unlock our members’ potential to not only rebuild their lives but also create a ripple effect of positive change in the lives of their families, friends, and society at large.
Join our incredible team at Affect as we expand our revenue and credentialing operations group. We are seeking an experienced Lead Billing Specialist that is detail oriented and has bias for action to ensure accurate reimbursement for Affect's telehealth substance use treatment services. Success in this role requires strong multi-tasking skills to manage the responsibilities of reviewing member accounts, verifying coding accuracy, submitting claims, and following up on rejections to maximize revenue on behalf of Affect.
Key Responsibilities:
- Prepare, review, and submit electronic and paper claims to insurance companies.
- Ensure accurate billing for telehealth services related to substance use treatment, including opioid use disorder.
- Verify coding accuracy and compliance with payer guidelines for substance use treatment.
- Resolve claim rejections and denials promptly, re-submitting claims as necessary.
- Maintain up-to-date knowledge of payer-specific billing guidelines for telehealth services.
- Collaborate with the Denials Management team to improve claim resolution rates.
Qualifications:
- High school diploma or equivalent; associate’s degree in healthcare administration or a related field is a plus.
- 2+ years of experience in medical billing, preferably in telehealth or substance use treatment.
- Knowledge of medical billing codes (ICD-10, CPT) and payer policies specific to substance use disorder.
- Familiarity with billing software and electronic health record (EHR) systems.
- Strong attention to detail and problem-solving skills.
- Demonstrated experience for taking proactive initiative to solve problems
- Bias for action - Affect is a fast-paced work culture
- Relative work experience within environments that required flexibility and the ability to adapt to change is essential
We are unable to sponsor H1-B Visas at this time. Please do not apply if you are not within US time zones.
Join our team and contribute to our mission to transform the lives of individuals affected by substance use disorders through innovative treatment approaches, cutting-edge research, and compassionate care.
Additional Requirements & Working Conditions:
The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position.
These physical demands are representative of the physical requirements necessary for an employee to successfully perform the essential functions of the job. Reasonable accommodation can be made to enable people with disabilities; these are made on a case-by-case basis. While performing the responsibilities of the role, the employee is required to talk and hear. The employee is often required to sit and use his or her hands and fingers. The employee is occasionally required to stand, walk, reach with arms and hands, climb or balance, and to stoop, kneel, crouch or crawl. Vision abilities required by this job include close vision.
This position is subject to a background check for any convictions directly related to its duties and responsibilities. We will consider for employment all qualified applicants with arrest and conviction records, and will assess the details of any criminal conviction in a manner consistent with applicable law. No background check will be conducted unless and until a conditional offer of employment has accepted by an applicant.
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