Primary

Responsibilities:

• Creates profiles for clients;
• Track records, scripts, session limits, and authorizations to ensure compliance with insurance companies;
• Update schedule with client absent for absences with applicable billing code as needed;
• Update schedule with any late arrival/pickups and early pickups as needed;
• Call claims department as needed to correct any claims/send back to reprocess for payment
• Follow up on any outstanding claims sent back to insurance that are over the reprocessing timeframe given (i.e. if they said would be completed within 7-14 days a follow up call is needed);
• Send appeals to insurance as needed;
• Bill claims from previous week every Monday;
• Audit any conversions that were not completed and reach out to staff as needed;
• Ensure that claims are sent out with all appropriate billing diagnosis codes, modifiers, and rendering providers;
• Apply insurance payments as they come through electronically;
• Take any over the phone payments and apply as needed;
• Keep record of all auto pay and payment plan families;
• Create PP and PR Invoices Monthly;
• Track who is/is not paying and charge late payment fees accordingly;
• Follow payment plans for all families who signed up;
• Send notification email once invoices are posted; Check for any outstanding items-used when calling on claims and tracking patient invoices owed;
• Link staff to appropriate billing codes;
• Update fee schedules as needed for insurance;
• Notify families of any billing changes, denied claim issues, new insurance benefits, and when session limits are about to be reached;
• Meet with new staff as needed to go over conversion process, what to do when error message occurs, how to notify of a client late arrival/pickup or early pickup;

Required Skills /Abilities:

• Experience with Central Reach System
• Basic understanding of clerical and administrative procedures.
• Excellent written and verbal communication skills.
• Excellent organizational and time management skills.
• Knowledge of Behavioral Health type of billing codes is mandatory.
• Ability to solve problems as they arise.
• Proficient in Microsoft Office Suite or similar software.
• Experience with Central Reach System is preferred.
• Knowledge of CPT and ICD-9/ICD-10 coding systems
• Experience with Microsoft Excel & Word

Education, Experience, Training, Qualifications

• Bachelor's Degree preferred.
• 2+ years of billing experience

Skills: behavioral health, Cpt, Clerical, Microsoft Excel, Microsoft Word, Microsoft Office Suite

Experience: 2.00-4.00 Years