Behavioral Health Billing Specialist
Alliance Family Health Center Alliance Family Health Center Alliance, OH Alliance, OH Part-time Full-time Part-time Full-time $17.
00 - $18.
50 an hour $17.
00 - $18.
50 an hour 1 day ago 1 day ago 1 day ago ALLIANCE FAMILY HEALTH CENTER JOB DESCRIPTION FQHC Behavioral Health Billing Specialist AFHC Administration BASIC FUNCTION:
The Behavioral Health Billing Specialist is responsible for the coding/billing operations for the behavioral health department of Alliance Family health Center.
The essential functions include accurate and timely code selection and charge submission for all behavioral health billable services.
The billing specialist helps manage insurance claims and payments.
It is the responsibility of the Behavioral Health Billing Specialist to identify and maintain FQHC specific behavioral health billing standards.
JOB DUTIES:
1.
Verify coverage and eligibility for medical, behavioral health, and care coordination services.
2.
Communicate with insurance providers and patients.
3.
Review patient bills and correct any missing or inaccurate information.
4.
Assist with timely resolution to billing/claim edits or holds in the PM system.
5.
Use EHR/PM software to prepare and transmit behavioral health claims.
6.
Responsible for validating coding and billing information required to clear edits.
7.
Remain current with regulations and coding guidelines regarding new and existing procedures for appropriate code assignment for behavioral health.
8.
In coordination with AFHC BHIC responsible for implementing models of care specific billing standards.
9.
Work directly with BH providers in correcting coding and documentation as needed.
10.
Validate coding and billing information required to clear edits.
11.
Collect unpaid claims and clear up discrepancies.
12.
Identifying and billing secondary or tertiary insurances.
13.
Work with patients to set up payment plans.
14.
Assists NextGen with payment/remit issues to ensure timely posting of all transactions.
15.
Assists with patient calls or questions related to billing and self-pay balances.
16.
Assist with charge reconciliation processes and audits charges in PM system.
17.
Assist with development of reports to track trends and resolve issues.
18.
As requested, assist in the preparation of Federal Reports - UDS report, OSHPD reports, PPS reconciliation reports, Medicaid CPC, PCMH, Medicare Credit Balance Report, and others as assigned.
19.
Work on special projects as assigned.
20.
Maintain patient, physician, and financial confidentiality.
21.
Participate in professional development activities and maintain professional affiliations.
22.
Other duties as assigned.
HEALTH CARING STANDARDS / VALUES:
1.
Greet customers, visitors, and Colleagues immediately with a smile, warm greeting, and introduction, calling them by name if possible.
2.
Exceed the expected and anticipate the unexpected by asking, Is there anything else I or a fellow Colleague can do for you? 3.
Always provide a comforting, timely, caring departure or discharge, and always say thanks for allowing us to serve.
4.
Integrity, openness and fairness in all you do 5.
Team work 6.
Pride in Department 7.
Individual creativity and Innovation 8.
Compassion and caring 9.
Maintain department and hospital standards and policies.
AGE APPROPRIATE CARE:
Colleague has been instructed in providing customer service and on interacting with age groups as related to the department's general client population:
including use of appropriate interventions, communication and skills to match the age and/or abilities of the patient/family.
MACHINES, TOOLS & EQUIPMENT USED:
1.
Must be knowledgeable in equipment and supplies used in medical office.
2.
Use of computer software systems including word, excel, medical records systems.
3.
General office equipment.
EDUCATION, TRAINING &
Experience:
1.
Associate Degree in health-related field or equivalent medical billing and coding certifications 2.
Minimum 4 years directly related experience in a healthcare environment with significant exposure to billing operations, coding/billing/charge capture/reimbursement/ practice operations.
FQHC experience preferred.
3.
Comprehensive understanding and working knowledge of CMS documentation, coding, and compliance regulations and requirements.
4.
Working knowledge of the HCPCS and ICD coding systems.
5.
Provider documentation, coding, and charge capture knowledge.
6.
Knowledge of accepted principles, practices, and tool relating to general healthcare professional provider operations and reimbursement for inpatient, outpatient, surgical and office based revenue.
7.
Working knowledge of medical terminology and abbreviations and healthcare nomenclatures 8.
Strong Knowledge of coding and billing processes.
9.
Must be able to work with providers to provide guidance on billing.
10.
Must be computer literate to complete task(s) as required.
SKILLS REQUIRED:
1.
Excellent organizational skills 2.
Focus on detail and self-motivated with ability to work with minimal supervision 3.
Evidence of leadership skills.
4.
Strong interpersonal, communication and advisory skill 5.
Ability to resolve issues in all settings 6.
Must be able to establish priority and multitask 7.
Ability to assign and review work 8.
Ability to exercise initiative, judgment, and decision making.
PHYSICAL REQUIREMENTS:
1.
Normal space, ventilation, and noise levels 2.
Must be able to get up and down out of chair frequently throughout the shift 3.
Must be able to lift 40 lbs.
4.
Ability to stand on feet for several hours 5.
Must possess sight and hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met 6.
Must be able to verbalize well and possess manual dexterity type and/or write legibly RESPONSIBLE TO:
Billing and Reimbursement Coordinator This description is intended to describe the essential job duties and the essential requirements for the performance of this job, it is not intended to cover all possible aspects of the job.
AFHC FQHC Behavioral Health Billing Specialist AFHC 03/2023 Job Types:
Full-time, Part-time Pay:
$17.
00 - $18.
50 per hour Expected hours:
40 per week
Benefits:
401(k) 401(k) matching Paid time off Schedule:
8 hour shift Day shift Monday to Friday Work setting:
Community health center Medical office
Experience:
Behavioral Health billing:
1 year (Preferred) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
00 - $18.
50 an hour $17.
00 - $18.
50 an hour 1 day ago 1 day ago 1 day ago ALLIANCE FAMILY HEALTH CENTER JOB DESCRIPTION FQHC Behavioral Health Billing Specialist AFHC Administration BASIC FUNCTION:
The Behavioral Health Billing Specialist is responsible for the coding/billing operations for the behavioral health department of Alliance Family health Center.
The essential functions include accurate and timely code selection and charge submission for all behavioral health billable services.
The billing specialist helps manage insurance claims and payments.
It is the responsibility of the Behavioral Health Billing Specialist to identify and maintain FQHC specific behavioral health billing standards.
JOB DUTIES:
1.
Verify coverage and eligibility for medical, behavioral health, and care coordination services.
2.
Communicate with insurance providers and patients.
3.
Review patient bills and correct any missing or inaccurate information.
4.
Assist with timely resolution to billing/claim edits or holds in the PM system.
5.
Use EHR/PM software to prepare and transmit behavioral health claims.
6.
Responsible for validating coding and billing information required to clear edits.
7.
Remain current with regulations and coding guidelines regarding new and existing procedures for appropriate code assignment for behavioral health.
8.
In coordination with AFHC BHIC responsible for implementing models of care specific billing standards.
9.
Work directly with BH providers in correcting coding and documentation as needed.
10.
Validate coding and billing information required to clear edits.
11.
Collect unpaid claims and clear up discrepancies.
12.
Identifying and billing secondary or tertiary insurances.
13.
Work with patients to set up payment plans.
14.
Assists NextGen with payment/remit issues to ensure timely posting of all transactions.
15.
Assists with patient calls or questions related to billing and self-pay balances.
16.
Assist with charge reconciliation processes and audits charges in PM system.
17.
Assist with development of reports to track trends and resolve issues.
18.
As requested, assist in the preparation of Federal Reports - UDS report, OSHPD reports, PPS reconciliation reports, Medicaid CPC, PCMH, Medicare Credit Balance Report, and others as assigned.
19.
Work on special projects as assigned.
20.
Maintain patient, physician, and financial confidentiality.
21.
Participate in professional development activities and maintain professional affiliations.
22.
Other duties as assigned.
HEALTH CARING STANDARDS / VALUES:
1.
Greet customers, visitors, and Colleagues immediately with a smile, warm greeting, and introduction, calling them by name if possible.
2.
Exceed the expected and anticipate the unexpected by asking, Is there anything else I or a fellow Colleague can do for you? 3.
Always provide a comforting, timely, caring departure or discharge, and always say thanks for allowing us to serve.
4.
Integrity, openness and fairness in all you do 5.
Team work 6.
Pride in Department 7.
Individual creativity and Innovation 8.
Compassion and caring 9.
Maintain department and hospital standards and policies.
AGE APPROPRIATE CARE:
Colleague has been instructed in providing customer service and on interacting with age groups as related to the department's general client population:
including use of appropriate interventions, communication and skills to match the age and/or abilities of the patient/family.
MACHINES, TOOLS & EQUIPMENT USED:
1.
Must be knowledgeable in equipment and supplies used in medical office.
2.
Use of computer software systems including word, excel, medical records systems.
3.
General office equipment.
EDUCATION, TRAINING &
Experience:
1.
Associate Degree in health-related field or equivalent medical billing and coding certifications 2.
Minimum 4 years directly related experience in a healthcare environment with significant exposure to billing operations, coding/billing/charge capture/reimbursement/ practice operations.
FQHC experience preferred.
3.
Comprehensive understanding and working knowledge of CMS documentation, coding, and compliance regulations and requirements.
4.
Working knowledge of the HCPCS and ICD coding systems.
5.
Provider documentation, coding, and charge capture knowledge.
6.
Knowledge of accepted principles, practices, and tool relating to general healthcare professional provider operations and reimbursement for inpatient, outpatient, surgical and office based revenue.
7.
Working knowledge of medical terminology and abbreviations and healthcare nomenclatures 8.
Strong Knowledge of coding and billing processes.
9.
Must be able to work with providers to provide guidance on billing.
10.
Must be computer literate to complete task(s) as required.
SKILLS REQUIRED:
1.
Excellent organizational skills 2.
Focus on detail and self-motivated with ability to work with minimal supervision 3.
Evidence of leadership skills.
4.
Strong interpersonal, communication and advisory skill 5.
Ability to resolve issues in all settings 6.
Must be able to establish priority and multitask 7.
Ability to assign and review work 8.
Ability to exercise initiative, judgment, and decision making.
PHYSICAL REQUIREMENTS:
1.
Normal space, ventilation, and noise levels 2.
Must be able to get up and down out of chair frequently throughout the shift 3.
Must be able to lift 40 lbs.
4.
Ability to stand on feet for several hours 5.
Must possess sight and hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met 6.
Must be able to verbalize well and possess manual dexterity type and/or write legibly RESPONSIBLE TO:
Billing and Reimbursement Coordinator This description is intended to describe the essential job duties and the essential requirements for the performance of this job, it is not intended to cover all possible aspects of the job.
AFHC FQHC Behavioral Health Billing Specialist AFHC 03/2023 Job Types:
Full-time, Part-time Pay:
$17.
00 - $18.
50 per hour Expected hours:
40 per week
Benefits:
401(k) 401(k) matching Paid time off Schedule:
8 hour shift Day shift Monday to Friday Work setting:
Community health center Medical office
Experience:
Behavioral Health billing:
1 year (Preferred) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
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