Billing Specialist

Job Description

Job Description

MISSION STATEMENT: 

We say yes to people seeking help for addiction and mental health. We create pathways to recovery and purpose. We provide the right service at the right time, delivered by people with lived experience. We transform behavioral health systems through innovation, creativity and collaboration.

 

JOB DESCRIPTION:

The Billing Specialist will manage all aspects of the billing cycle, from generating invoices to processing payments, ensuring that all financial transactions are accurate, timely, and compliant with company policies. This role involves coordinating with various departments to ensure seamless billing operations.

ROLES AND RESPONSIBILITIES:

• Process third party insurance billing.
  
• Review incoming EOB statements. 
  
• Process incoming TPL RA’s, posting payments to EHR. 
  
• Submit COB/EOB limitations to AK-Medicaid for dually insured clients and processes billing not covered by primary insurance.
  
• Process monthly insurance verification for all TPL clients.
  
• Process monthly insurance verification for all Medicaid Pending clients and move newly insured to correct group enrollment.
  
• Audit incoming Medicaid ERA’s to address all denials and recoups. 
  
• Process appeals for denied claims. 
  
• Correct any billing errors made by service providers on notes associated to TPL claims.
  
• Processes Self-Pay applications to determine service costs for individuals that do not have insurance
  
• Create Self-Pay contracts 
  
• Follow up with clients regarding past due self-pay contracts
  
• Monthly AR audit for services billed and unpaid maintaining no more than a 5% of non-reimbursable claims. 
  
• Work with case management to address clients with insurance coverages issues
  
• Provide weekly billing report
  
• Provide monthly AR audit report
  
• Provide quarterly Status report for the Board

QUALIFICATIONS AND EDUCATION REQUIREMENTS:

• High school diploma or GED.
  
• Valid Alaska driver’s license.
  
• Friendly, Positive, and Professional attitude.
  
• Must be able to pass alcohol and drug screen.
  
• Punctuality and consistent reliability in reporting to work.
  
• Efficient time management skills and consistent reliability in reporting to work on time and prepared.
  
• Must be physically able to do lifting, carrying of supplies, and manual labor related to this position
  
• Familiar with Microsoft programs, specifically Excel. 

REFERRED SKILLS:

• Knowledge of Commercial insurance billing 
  
• Experience with QuickBooks Desktop
  
• Oral and written communication skills.
  
• Ability to prioritize and schedule work.
  
• Knowledge of health and safety regulations.
  
• Maintain current knowledge of program rules, regulations, policies and procedures.
  
• Correct usage of grammar, spelling, punctuation and vocabulary.
  
• Ability to work independently and seek supervision appropriately. 
  

COMPETENCIES:

• Ensures timely filing for all billing.
  
• Values communication.
  
• Supports collaboration and teamwork.
  
• Promotes growth and development.

FULL TIME BENEFITS

• ICHRA Coverage for Employee Health Insurance Policy Reimbursement (Health Insurance Policy Reimbursement)
• 401K Plan - 100% Match Up To 5%
• Life & ADD Insurance Policy 100% covered by employer
• Vision and Dental Policy 90% covered by employer
• 10 Paid Holidays a Year
• Paid Time Off Accrual
• Paid Training and Credentialing
• Short term and long-term disability
• Monthly cash stipend
• Supplemental benefits including critical illness insurance, accident insurance and hospital indemnity

AT-WILL EMPLOYMENT

The relationship between you and the True North Recovery Inc. is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the True North Recovery Inc. . No representative of True North Recovery Inc. has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status.