Job description

Purpose of Position:

To assist billing team in obtaining a clean and current accounts receivable report by ensuring EFT payments from insurance payers are posted to patient accounts daily and all denied claims are appealed in a timely manner while reporting any identified denial trends to AR Manager.

Essential Functions:

· Responsible for the daily balancing and posting of EFT payments to patient accounts from the bank statement and clearing house for both EMR systems.

· Responsible for the daily processing and billing of patient claims to insurance and grant payers from both EMR systems and for all Carevide sites.

· Responsible for printing, creating and submitting weekly report of projected Medicaid receivables.

· Responsible for appealing denied claims for insurance and grant payers.

· Responsible for working with billing staff to ensure accounts receivables are clean and current in both EMR systems.

· Responsible for monthly review of Title V vouchers.

· Responsible for keeping the AR Manager informed of errors or denial trends that are found on a consistent basis.

· Responsible for working with AR Manager on insurance credentialing and enrollment for Carevide facilities and providers.

· Responsible for maintaining current provider data in the CAQH system.

· Responsible for ensuring provider licensure is current with TMHP system.

· Responsible for communicating with insurance plans on provider and facility enrollment.

· Responsible for processing patient and payer refunds as needed.

· Responsible for assisting front office staff with questions or issues that arise.

· Responsible for working with BCCS coordinator on billing claims, correcting claim rejections/issues and receipt of payment for BCCS visits.

· Responsible for answering phones within department.

· Responsible for performing other duties as assigned by the AR Manager.

This job description shall include, but is not necessarily limited to, the above duties. Candidate may temporarily perform other duties and projects as assigned to maintain operations and services.

Expectations:

· All patients will be treated with dignity and compassion.

· Employee will assist in providing care to patients without creating additional barriers for them.

· Employee will promote a positive attitude.

· Employee will maintain a professional atmosphere in the clinic, and promoting Carevide in a positive manner in the community.

· Ensure a safe environment of care for patients and staff.

· Employee is to be punctual, and aware of excessive absenteeism.

· Treat co-workers and patients with respect.

· Maintain a clean and organized workplace including office areas

· Must be a team player with a commitment to the team meetings, as well as policies of this agency.

· Employee is expected to adhere to the Agency dress code and present to work in a professional manner.

· Employees should interact well with patients to assure patient satisfaction has been provided.

Knowledge and Skills:

· Knowledge and experience with computers especially Excel & Word

· Ability to multi-task, work with a team as well as independently to meet deadlines

· Must be detail oriented, organized, able to prioritize projects/tasks

· Ability to understand written and verbal instructions

· Must be receptive to change and a busy schedule

· Knowledge of Medical front office operations including health insurance & verification, CPT & ICD-10 codes a plus

Qualifications:

· Graduated from an accredited high school or hold a GED.

· Minimum 1 year medical office/billing experience.

· Sufficient experience to carry out the duties of this position.

· Ability to relate with warmth and effectiveness to the patients.

· Bilingual a plus.

Job Type: Full-time

Pay: From $12.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off

Schedule:

• 8 hour shift

Work Location: One location

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