The Community Services Program provides care to over 300 clients per month. Charges are entered by community workers on an electronic record, and the biller must enter the charges from this program on our billing system. The Biller is the person responsible for posting claims and tracking payment.
This person also inputs billing into the AR Plus system daily. This person must effectively and professionally interact with clients and clinicians to procure timely appointment offerings and maintain a positive relationship with customers. This person must also enter all billing in a timely and accurate fashion so that claims are adjudicated in a timely fashion.
Previous experience in medical or behavioral health billing
Familiarity with Medicaid and private insurance billing requirements
High School graduate, some college preferred
Accept co-pays and book future appointments for clients and clinicians
Assist in making proper assignment of cases by staying knowledgeable of what insurances an individual clinician is billable to and what the therapist's treatment specialties are
Enter new patient information into the computer system
Enter billing into computer system daily and work problem claim reports to assist Office Manager
Responsible for verifying insurance coverage and client co-payments and obtain authorizations for treatment from the client's insurance pay source
Special Position Requirement:
Basic Computer Skills to include Word and Excel
Extensive knowledge of CPT Codes and the DSM IV
Ability to prioritize work assignments and manage time properly
Ability to communicate effectively by phone
Ability to work in a fast-paced environment
Establishes and maintains effective working relationships within the agency and related sources
Ability to sit or stand for extended periods of time
Ability to lift and carry 15lb.
2+ years of office experience in an outpatient medical office