What are the responsibilities and job description for the Billing Specialist - Hybrid Remote position at Park Avenue Center?
Come join an Extraordinary Team and work within a culture that is both supportive and nurturing!
Park Avenue Center's mission is to Empower People to Improve Their Lives by living our core values of: Clients First - Own It - Believe It - Get Better - Got Your Back. Our vision is to be A Place where People Want to Work and Clients Want to Come
POSITION SUMMARY:
Responsible for auditing attendance, ensuring funding is secured and serving as the first point of contact for complex billing and time entry matters in the department.
Duties and Responsibilities
- Verify and enter client group and individual attendance into the Electronic Health Records system (Procentive) ensuring accuracy and compliance
- Work with internal partners and payers to verify or obtain funding for clients and ensure accuracy of funding details
- Maintain regular communication with Billing Manager and Clinical Staff regarding client data pertinent to records and the billing function
- Complete and/or monitor accurate and timely data in Drug and Alcohol Abuse Normative Evaluation System (DAANES)
- Complete monthly insurance verifications or changes using state MN-ITS system or Procentive. When changes occur, work with clinical staff to complete necessary paperwork and obtain new authorizations in a timely manner, avoiding non-coverage and non-payment
- Submit insurance claims to clearinghouse or individual insurance companies electronically
- Follow up with insurance carriers on unpaid or rejected claims and resubmitting the claims as necessary
- Prepare appeal letters to insurance carriers when not in agreement with claim denials; collect necessary information to accompany appeal
- Contribute to department process improvement ideas, training and implementation
- Responsible to provide quality assurance for billing data
- Maintain professional relationship with clients while following a code of ethics
- Ensure that program administrative operations are conducted in compliance with all pertinent local, state, and federal laws as well as all other mandated requirements
Education/Licensure/Certification
Must have a high school diploma or equivalent; associate’s degree preferred
Knowledge/Skills/Abilities
- Demonstrate alignment with company values, goals, policies and procedures
- Must have analytical, data entry, mathematical, and problem-solving skills
- Ability to establish priorities, manage projects, and meet deadlines
- Ability to establish and maintain effective and cooperative relationships with co-workers
- Ability to maintain excellent interpersonal, verbal, and written communication skills in English
- Ability to maintain positive public relations with referring agencies and the business community at large
- Proficiency in Microsoft Office programs and electronic medical record program; or ability to obtain efficiency after training
- Previous experience with an electronic health records system or computer billing system strongly preferred
Additional information
This is a full-time, benefits eligible position, working Monday through Friday, with a remote hybrid work arrangement after initial training period.
We offer a comprehensive benefit package to include medical, dental, vision, long-term disability, voluntary life insurance, paid time off and holiday pay, 401k with up to 4% employer match, and company paid short-term disability and base life insurance.
Park Avenue Center is an Equal Opportunity Employer
