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Form of workJob Description
Why Work at PATH?
A Career with Meaning
At PATH, our team members are at the heart of what we do, so we work hard to give them the best reasons to work here — and to stay here.
In addition to the satisfaction of making a real difference in people's lives, we offer:
• Competitive pay
• Annual increases
• Performance and longevity bonuses
• Comprehensive benefits package for staff and family
• Generous amount of paid holidays, vacation, sick, and personal time
• No-cost pension plan
• Ongoing professional development opportunities, including licensure supervision
• Cutting-edge treatment facility, resources, and treatment modalities
• Opportunities for advancement and growth within the organization
• Eligible for the Federal Public Student Loan Forgiveness (PSLF) program
• Referral bonus for referring a friend who accepts employment
JOB SUMMARY:To promote the mission of PATH to help individuals achieve a more independent and fulfilling life by being an effective team member. Confirm and update client eligibility. Prepare and submit 837P electronic billing files and CMS1500 paper claim forms. Download and review response files to the 837 billing files. Post electronic and manual payment files as received. Perform all billing and cash posting tasks in a timely manner in order to ensure maximum revenue and facilitate cash flow. Provide the Accounts Receivable Manager and Chief Revenue Officer with the necessary information to resolve all billing and funding discrepancies.
PHYSICAL DEMANDS:Minimal in nature
QUALIFICATIONS: Associate degree preferred; Three to Five years experience in Health Care Billing functions, preferably in a Behavioral Health and/or non-profit environment, in an Electronic Health/Medical Records system; Ability to run reports necessary to correct and update billing and funding source data; Ability to work with numbers and function with minimal supervision. Experience and knowledge of Primary and Secondary insurance billing including the input of data, generation of electronic 837 billing files, and electronic and manual cash application of cash received from billings. Possess the skills needed to interact with outside parties to collect the necessary information for the successful submission of claims.
SPECIFIC DUTIES:
Complete all CBH Monthly and Weekly (CBE/PE) billing, including analysis to determine service type to bill and completion of roll-up services.
Rebill services from CBH to Medicare as required via HCFA 1500 forms and complete all relevant documentation.
Download, review and document all 277 files from CBH after each 837 file submission.
File TPL Discrepancies with CBH as needed based on the 277 Rejections for CBH.Submit requests for Medicare Exceptions to CBH for all newly admitted or newly eligible Medicare clients who are dual-eligible and are receiving services from Russian-speaking therapists.
Download and post CBH 835 RA files including review, analysis, and correction of any incorrectly or unposted services.
Review, correct, and resubmit services rejected on the CBH 835 RA, or refer to A/R Manager for adjustments when indicated.
Review, correct, and resubmit services on the monthly CBH Open Services Reports, or refer to A/R Manager for adjustments when indicated
