ABOUT KLARISANA
Lingering mental health conditions have the power of setting people apart from their true identities and leading them into severe symptoms of desperation, exhaustion, and hopelessness. At Klarisana, we walk side by side with our patients through the transformational journey that allows them to reconnect with their sense of self and a more peaceful and balanced perception of the world around them. At Klarisana, we perform ketamine treatment for a variety of mental health conditions - commonly depression, anxiety, and PTSD. Our service is an adjunct therapy for these conditions. Excellent customer service skills are required. We are a team of highly-motivated emergency medical professionals and office personnel.
OVERVIEW OF THE POSITION
The Billing Specialist ensures that insurance companies and healthcare facilities keep accurate records. They work closely with customers, patients, or company personnel to create invoices and check calculations on billing statements so there are no errors in payment procedures.
QUALIFICATIONS
- Bachelor’s Degree, Accounting, Healthcare Administration, or Finance preferred.
- High school diploma or equivalent required.
- Medical Billing and Coding certification highly preferred.
- Proficiency in Microsoft Excel and ERP software.
- Experience with medical billing and claims submission.
- Minimum of 2 years experience in medical billing and insurance credentialing.
- Experience with Medicare, Medicaid, and commercial insurance companies.
- Knowledge of medical terminology, coding (CPT, ICD-10), and healthcare compliance.
DUTIES
Credentialing:
- Execute the credentialing and re-credentialing process for all healthcare providers.
- Ensure timely submission of applications and follow-up with insurance companies.
- Maintain up-to-date files on all healthcare providers, including licenses, certifications, and malpractice insurance.
- Communicate with providers and insurance companies to resolve any credentialing issues or discrepancies.
- Ensure compliance with all regulatory requirements and standards.
Billing:
- Prepare and submit clean claims to various insurance companies either electronically or by paper.
- Oversee denials, re-bills, appeals etc. to maximize collections.
- Verify insurance coverage and benefits for patients.
- Monitor incoming payments received and posting accuracy. Post payments and adjustments to patient accounts.
- Assist with the collection of past-due accounts and implement payment plans as necessary.
- Collaborate with the billing department to ensure accuracy in coding and billing procedures.
- Assists admin staff in escalated patient account matters.
- Manage the status of accounts and balances and identify inconsistencies.
- Pull and review reports on billing activity with accurate data.
Insurance Coordination:
- Handle questions from administrative staff on patient insurance information and eligibility prior to services being rendered.
- Help educate patients on their insurance benefits and financial responsibilities.
Compliance and Documentation:
- Maintain accurate records and documentation of all credentialing and billing activities.
- Stay current with changes in insurance regulations and industry standards.
- Assist in audits and ensure compliance with all billing and credentialing policies and procedures.
WORK ENVIRONMENT
Office Based and Clinical Setting, hybrid position can be discussed with the Director of Revenue Fulfillment.
TRAVEL REQUIREMENTS
Commuting to and from office location.
Klarisana is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Our goal is to be a diverse workforce that is representative, at all job levels, of the people we serve.
Job Type: Full-time
Pay: $19.00 - $22.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
- Weekends as needed
Work setting:
- Hybrid work
- Medical office
Application Question(s):
- How many years of medical provider credentialing experience do you have?
Education:
- High school or equivalent (Required)
Experience:
- Medical billing: 2 years (Required)
Work Location: Hybrid remote in San Antonio, TX 78240