Billing Manager jobs in Huntington, WV

 JOB DESCRIPTION: The job of the billing department is to post pending charges, work insurance denials, and process claims for insurance billing. 

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Duties and Responsibilities of the Billing Department:

• Post pending charges.
  
• Checking other office’s charges.
  
• Processing insurance claims.
• Working Prior Authorizations
  • Initiate and follow up on authorizations and pre-determinations with applicable insurance in a timely manner.
• Follow up on status
• Working on paper denials.
• Working electronic denials.
• Working with insurance companies.
• Working with collection accounts.
  
• Verifying a diagnoses with a procedure.
  
• Keep journal of all daily money activity and balance out every night.
  
• Make sure every procedure for every patient seen are posted.
  
• Work the denials and find out why the insurance company has not paid and what we need to do for processing that claim.
  
• Work Aging Reports for insurance companies and patients.
  
• Posting insurance payments to the correct account.
  
• Work the Claims Tracker.
  
• May be required to help with the electronic billing.
  
• Supply collection companies with information that they might need.
  
• Call insurance companies and check the status of claims.
  
•  Help to answer phone calls.
  
•  Answer patient questions about their bills.

QUALIFICATIONS:

• Must have at least a High School Diploma or G.E.D.
  
• Working knowledge of how a Medical office runs.
• At least one year of experience working in the billing field would be preferred but not required.
• Knowledge of prior authorization preferred.
• Have knowledge of the internet and how to use it to check address and find new address.
  
• CPR Certified Preferred.
  
• Experience working with electronic payment systems.

COMPETENCIES

• Financial Management.
  
• Technical Capacity.
  
• Performance Management.
  
• Ethical Conduct.
  
• Communication Proficiency.
  
• Personal Effectiveness, Credibility.
  
• Knowledge of Microsoft Office.

SUPERVISORY RESPONSIBILITY

None 

PHYSICAL DEMANDS:

Physical demands described are representative of those that must be routinely met by and employee to successfully perform the essential duties of this position.  Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essentials duties.

• Ability to lift minimum 25 pounds.
  
• Ability to perform job responsibilities in a facility with multiple levels and without elevator or mechanical transportation.
  
• Operates a computer and keyboard.

TRAVEL

No travel expected for this position. 

POSITION TYPE/EXPECTED HOURS OF WORK:

This is a full-time position, and core hours and work days are Monday through Friday 8am to 4:30pm. This position may require evening or weekend work. 

WORK ENVIRONMENT:

This job operates in a professional office environment.  This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. 

WORKING CONDITIONS:

Working conditions described are representative of those that must be routinely met by and employee to successfully perform the essential duties of this position.  Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential duties.

• Smoke-free environment.

This position description is not intended to be a complete list of all responsibilities, duties or a skill required for the job and is subject to review and change in accordance with the needs of OVP Health and

contractual obligations.

Our Mission

Centered in compassion and excellence, we serve to save lives while nurturing stronger and healthier communities for our persons served , employees, and families.

CORE VALUES: 

Moral, Ethical and Behavioral Guidelines

Family: OVP Health is proud to be a family-owned company. We hold ourselves to the highest standards: the family values that are passed from generation to generation. However, at OVP Health we also believe that our coworkers, our persons served  and our community are family. That means we will always treat you like family, no matter what health struggle you're facing. 

Quality: In an ever-changing health care industry, our commitment to consistent, high-quality care has been the same since day one. Our highly trained physicians and nurses are constantly striving to provide the latest, most advanced care and treatment to persons served . Our medication-assisted treatment program is fully accredited by CARF (Commission on Accreditation of Rehabilitation Facilities). In everything we do, our goal is to provide persons served  and their loved ones with the highest level of care possible.

Community: At OVP Health, we believe in giving back. And our commitment to improving the communities we serve doesn't stop at providing high-quality medical care. After work and on weekends, OVP Health employees can be found volunteering in the community, and we are proud to support a number of nonprofit groups in the areas we serve. 

Integrity: Ethical, responsible health care is a nonnegotiable at OVP Health. We treat our coworkers, our persons served  and our communities with honesty, truest and respect and hold ourselves to the highest standards of ethics and professionalism. Earning a patient's trust and loyalty is our greatest reward. 

EEO STATEMENT

OVP Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.  In addition to federal law requirements, OVP Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.  This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfers ,leaves of absence, compensation and training.

OVP Health expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status.  Improper inference with the ability of OVP Health employees to perform their job duties may result in discipline up to and including discharge.

COVID-19 VACCINATION POLICY

• All employees and providers are required to be vaccinated for COVID-19 per OVP Policy. If you are not currently "fully vaccinated", or decline the vaccine, you must complete a rapid COVID-19 test on the first day of your work week each week. Testing is free and will need to be completed on the first workday of each week.  Any positive COVID-19 test result should be followed with a confirmatory (PCR) test. Failure to complete testing will result in disciplinary action.*Although FDA approved and CDC recommended, an additional (third) or “booster dose” of the COVID-19 vaccine is not currently required in order for staff to be considered “fully vaccinated.”
• COVID screenings (with temperature check) remain MANDATORY for all corporate office staff and to enter any outpatient facility and the Recovery Center.
• Masks are required in all healthcare facilities, regardless of vaccination status.  The only exception is if the employee is in an office, alone, or actively eating or drinking.
• As a healthcare provider that participates in Medicare and Medicaid programs, OVP’s COVID-19 Policy is subject to change in light of any Centers for Medicare & Medicaid Services (CMS) mandate.