Medical Billing Specialist

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🕒 Yesterday

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Logo of Groups Recover Together

Groups Recover Together

501 - 1000 employees

Founded 2014

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Groups Recover Together is a recovery support organization that specializes in helping individuals regain control of their lives from substance use disorders, particularly focusing on opioid recovery. They offer fast access to Suboxone treatment and provide a range of support options, including in-person and virtual treatment, while accepting insurance and Medicaid. With a non-judgmental approach and a strong emphasis on community support, Groups aims to help members rebuild their lives and maintain their recovery effectively.

📋 Description

• Manage claims from submission through final resolution, including follow-ups, appeals, and payment support. • Investigate and resolve unpaid or denied claims using payer portals and direct outreach to insurance providers. • Analyze denials and rejections, research payer policies, and submit reconsiderations and appeals. • Document account activity and manage medical records requests with accuracy and compliance. • Track and trend payer issues to identify patterns and recommend process improvements. • Collaborate cross-functionally with Billing, Cash Posting, Contracting, and Intake teams.

🎯 Requirements

• High school diploma or equivalent required; associate degree or certification preferred. • CPC certification preferred. • 2–5 years of medical billing or claims management experience, ideally in behavioral health or healthcare services.

🏖️ Benefits

• Benefits • Insurance

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