GILEAD - Medical Billing Specialist

Overview

Gilead Community Services is seeking a dedicated part time Medical Billing Specialist to join our Finance department team.

The part time Medical Billing Specialist for Gilead’s Middletown area finance department works 40 hours per week
, M-F 8am-4pm to handle all aspects of medical billing for our Outpatient Mental Health Clinics, including processing of claims, benefit verification, maintaining of accurate insurance information, and assisting clinicians with necessary prior-authorizations.

• High school diploma required
• Medical Billing Certification required
• Knowledge of Word, Excel and medical billing software
• 3 years of experience required
• Must maintain and provide proof of valid driver’s license and automobile insurance in good standing

• Generous paid vacation, sick, and personal time plus paid holidays
• Hands-on learning experience and supervision
• Scholarship, tuition reimbursement, and professional development opportunities
• Paid training, education, and certification as necessary (including CPR training)

• Verifying mental health benefit insurance information for clients in the Outpatient Clinics
• Entering and maintaining client insurance information in the billing management system
• Applying medical billing knowledge to generate, review and submit electronic and paper bills to insurance companies
• Review EOB’s for denials and necessary re-submissions
• Working with accounts receivable for timely collection of outstanding balances
• Assisting clinicians in ensuring necessary prior authorizations are in place

Gilead employees are held to standards and regulations set by the Department of Mental Health and Addiction Services (DMHAS) and other regulatory bodies. These standards are outlined in Gilead’s “Standards of Conduct” policy. It’s important that these standards and regulations are met through all duties performed, outcomes achieved, and conditions kept within the organization.

We support equality for and advancement of all people, based on their qualifications and actions alone, without regard to color, gender, age, religion, national origin or disability.

Our company is dedicated to fostering an inclusive environment. If you need a reasonable accommodation to participate in the job application or interview process, please reach out to total.rewards. We will make every effort to accommodate your needs in accordance with applicable laws and our commitment to accessibility and inclusion.