A/R Biller

　　Job Details

　　Job Location

　　Brentwood Mental Health Clinic - Brentwood , NY

　　Position Type

　　Full Time

　　Education Level

　　Associates Degree

　　Salary Range

　　$23.51 - $35.29 Hourly

　　Travel Percentage

　　None

　　Job Shift

　　Morning

　　Job Category

　　Accounting

　　Description

　　SUMMARY

　　The Billing Representative will be responsible for the billing of Outpatient and inpatient and follow up of claims. This position will be instrumental in analyzing and following up on billed claims to determine the appropriate course of action to resolve the claims.

　　ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. Other duties and responsibilities may be assigned.

　　CORE RESPONSIBILITIES

　　Resolve cash generating accounts expeditiously to bring in revenue for the company.

　　Able to work an average of 40-50 accounts per day 100% of time

　　Able to work accounts with 5% or less error ratio

　　Follow-up on Managed Medicaid, Commercial and Essential claims by phone calls to the insurance companies, websites, if available, or any online resources.

　　Understanding of medical terminology, diagnosis codes, denial codes, and calculating fee schedules.

　　Experience in filing appeals on denied claims when appropriate while working each account/claim.

　　Strong understanding of UBs, 1500s, Electronic Remittance Advice (ERAs).

　　Ability to read and understand EOBs (Explanation of Benefits).

　　Able to read and understand the 820 billing regulations and applying them when following up on Claims

　　Has the experience to know the appropriate questions to ask when calling Managed Medicaid Insurance companies, Commercial and Essential plans to get the necessary information to move forward in resolving the claim.

　　Understands Behavioral Health revenue cycle management (RCM) process and can apply when working account.

　　Develops a solid understanding of assigned RCM processes to review and analyze claims and account receivable functions.

　　Identifies RCM issues consistently and communicate this to their Manager timely for quick resolution.

　　COMPETENCIES (KSAs)

　　Leadership

　　Initiative

　　Ethical Practices

　　Judgment

　　Relationship Management

　　Emotional Intelligence

　　Professional Boundaries

　　Global and Cultural Awareness

　　Critical Evaluation

　　Problem Solving

　　Decision Making

　　Communication

　　Teamwork

　　Crisis Management

　　Technical Capacity

　　Qualifications

　　REQUIRED EDUCATION

　　High school diploma or equivalent required.

　　Associates degree or vocational school training preferred.

　　LICENSE/CERTIFICATIONS

　　N/AEXPERIENCE

　　Excellent written and verbal communication skills, on Program specifics processes.

　　Excellent organizational, time management and problem-solving skills.

　　Able to use the appropriate reason and status codes in the EMR system for each account

　　Able to request the correct information from the appropriate entity when attempting to resolve the account.

　　Able to ask the appropriate questions when calling insurance companies or state programs, or patient.

　　Proficient in Microsoft Office Suite or similar software.

　　WORK ENVIRONMENT

　　This job operates in an indoor office environment. This role routinely uses standard office equipment such as computers, phones and photocopiers.PHYSICAL DEMANDS

　　The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties and responsibilities of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities.

　　Regularly required to sit, use hands to type, handle or feel objects, tools or controls; reach with hands and arms, and talk or hear.

　　Frequently required to stand, walk, stoop, kneel or crouch and lift and/or move up to 30 pounds

　　Phoenix House is an Equal Opportunity Employer providing equality of opportunity to all who are protected against discrimination by law, regulation or executive order, including veterans and individuals with disabilities. EEO is the Law: Applicants and employees are protected under Federal law from discrimination. Click https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf to learn more.