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SalaryPOSITION: CLIENT BILLING REPRESENTATIVE
CLASSIFICATION: FULL-TIME, NON-EXEMPT
HOURS: 37.5 HOURS
SUPERVISOR: REPORTS TO DIRECTOR OF BILLING AND CONTRACTS
CLASSIFICATION: FULL-TIME, NON-EXEMPT
HOURS: 37.5 HOURS
SUPERVISOR: REPORTS TO DIRECTOR OF BILLING AND CONTRACTS
RESPONSIBILITIES:
- Ensure that accurate billing is managed for services rendered by the facility.
- Audit billing to ensure accuracy and identify any irregularities.
- Run Medicaid/Medicare eligibility via E-paces.
- Assist with billing activities such as reviewing sessions in claim maintenance, checking open balances and rejections/denials. In the event of a claim being denied, it is their responsibility to communicate with the payor and resubmit the claim if applicable.
- Ensure that all clients’ claims are appropriately managed by submitting them in a time-efficient manner.
- Record data and post payment transactions applying strict attention to detail.
- Ensure processing of payments from insurance companies via Inovalon clearing house. Upload and post payments in EHR.
- Issue client’s invoice and mail it when requested by client.
- Track and resolve billing discrepancies.
- Assist Intake Department to verify clients’ insurance coverage and check benefits.
- Perform appeals on denied claims.
- Manage open claims balance report.
- Collect co-payments and outstanding balances from clients.
- Process refund requests to payors.
- Work with front office to resolves any billing inquiries/issues.
- Track, monitor and collect co-pays, co-payment, sliding scale payments, etc. Maintain current Excel sheet with updated information. Submit bi-weekly report to Director of Billing and Contracts and Chief Program Officer.
- Other duties may be assigned as required.
REQUIREMENTS:
- Experience working with Electronic Health Records (EHR) billing systems.
- College degree or current enrollment in program and/or equivalent work experience (preferred).
- At least five (5) years of experience in behavioral healthcare and/or medical billing setting.
- Must have experience with billing Medicaid, Medicare, and Commercial Payers, as well as claims denials, eligibility, modifiers, and payment posting.
SKILLS:
- Must possess a good knowledge of medical insurance practices.
- Proficient in the use of computers in filling and processing of data.
- Proficient in arithmetic to be able to perform simple calculations.
- Proficient in Excel and Word.
- Must possess good analytical reasoning and problem-solving skills.
- Must possess strong administrative skills.
- Strong ability to process data and provide accurate reports to management.
- Must possess strong interpersonal skills to develop good relationships with clients and staff.
REPORTING:
- Reports to Director of Billing and Contracts
Salary: $27.00 - $33.00 per hour
