Welcome to CCCC LLC, a flourishing Multi-Specialty Mental Healthcare Practice. For decades, we've been serving the communities of DC, MD, and VA with accessible and insurance-accepted behavioral healthcare solutions. Now, we're thrilled to offer you the chance to be a part of our growing success story. Position Overview: Billing Specialist We're excited to extend an invitation to talented individuals like you to join our skilled, hard-working, and goal-oriented Billing Team. This is a unique opportunity to make an impact as a key contributor at our Washington, DC. location. Embrace a fulfilling Monday-Friday schedule, 8:30am-5:00pm What Sets Us Apart: Our Mission At CCCC LLC, our mission is a driving force that unites us as a team. Together, we're committed to delivering high-quality, accessible, and culturally-sensitive mental health services, training, and consultation to those in need. Your Responsibilities and Duties: Client Communication • Ensure seamless communication with clients regarding scheduling options, clinician details, services, and insurance-related queries. • Uphold our commitment to timely communication by addressing emails, voicemails, and faxes within 24 hours. Client Billing • Denial Management: Perform daily reviews of ERAs and EOBs for commercial and Medicare/Medicaid plans to identify, categorize, and prioritize rejected and/or denied claims. • Forensic Appeals: Draft and submit formal appeals for "medical necessity" or "level of care" denials, coordinating with clinicians for supporting documentation. • A/R Aging Management: Systematically work 30, 60, and 90+ day aging reports to resolve outstanding balances and reduce "days in AR." • Payer Relations: Contact insurance representatives directly to troubleshoot stuck claims and navigate complex "coordination of benefits" (COB) issues. • Claim Submission: Submits claims for all payers electronic and paper. • Authorization Recovery: Secure new and retroactive authorizations for services rendered and monitor current "units used" to prevent future gaps in coverage for Medicaid payers. Familiarized with insurance websites and authorization forms and faxes. • Eligibility Verification: Conduct regular audits of patient insurance status to catch lapsed coverage before sessions occur. • Payment Reconciliation: Ensure all insurance payments are accurately posted to maintain a "clean" and accurate ledger. • Client Payments: Responsible for collecting client co-payments, deductibles, etc. • Reporting: Daily reporting for scheduling and online client payments. • Other administrative duties as assigned (i.e. Front Desk coverage). Qualifications and Requirements: • Education: Bachelor's degree or equivalent work experience in a relevant field is required. • Experience: • Minimum of 5 years of experience in EHR systems, mental health billing and coding, and denial management. • Has knowledge of commonly used concepts, practice and procedures within medical billing and medical insurance field. • Maintain open communication with insurance verification team, billing department and office staff. • Works independently, detail-oriented and organized. • Basic computer knowledge with preferences for Microsoft Office and Google Suites/Workspace. Benefits We Offer: • Dental insurance • Health insurance • Life insurance • Paid time off • Retirement plan • Vision insurance Your Growth Opportunity: By joining our team, you're not just filling a role – you're embracing a journey of professional growth. Collaborate with our Billing Manager and billing team to identify and meet evolving needs. Apply Today: Seize this chance to become an integral part of our mission-driven organization. If you're ready to make a difference in the world of mental health, we're excited to hear from you.