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    CFS Billing Specialist - Fort Worth, United States - MHMR Tarrant

    MHMR Tarrant
    MHMR Tarrant Fort Worth, United States

    4 weeks ago

    Default job background
    Description


    For over 50 years, MHMR has provided community-based services for youth and adults with intellectual and developmental disabilities (IDD), mental health conditions, and substance use disorders, as well as babies and young children with developmental delays.

    MHMR employees use a person-centered approach to fulfill the mission: We Change Lives Using innovative approaches, MHMR partners with community organizations to provide services and a hopeful future.


    Category:
    Indirect - Administrative/Clerical/Customer Service
    Pay is determined by relevant experience, work history, education and internal equities.

    As part of our Diversity, Equity, and Inclusion practices, MHMR offers the maximum compensation for candidates based on their experience, education and internal equities of the agency.

    This practice removes biases in compensation and assist hires and/or promotions on pay equity in their appropriate position(s) at MHMR.

    I) Job Purpose
    Responsible for a variety of tasks to support the function of ECI Administration. Responsible for Data Entry in local and state data bases. Shared responsibility for maintaining and reconciling internal and external information and reports in local and state data bases. This position requires me to use my education and training to make decisions.

    II) Essential Functions
    A. Verification of Benefits

    Performance Requirement(s):
    Verify client insurance benefits and enter information in Local and State Databases as assigned.
    Fax insurance authorizations and request for record as applicable.

    Verify and enter Family Cost Share in Local and State Databases, no permission to bill, and no insurance as required.

    Complete Family Cost Share Billing Spreadsheet by researching EOB's to obtain clients final financial responsibility as applicable.
    Review and reconcile data and reports as required.
    B. Maximize revenue collections

    Performance Requirement(s):
    Research denial EOB's for validity as received and process accordingly.
    Review denials and rejections Determine reasons for denials and rejections looking for patterns to correct.
    Follow up with Client accounting for appeals and resubmissions.
    C. Assist with entering and reconciling data reports

    Performance Requirement(s):
    Resolve any issues with data or logs as they occur.
    Assist with other data entry and office duties as requested.
    III) Knowledge of Laws, Policies/Procedures, Skills, Education and Abilities
    CMHC Operating Procedures
    ECI Policy and Procedures
    EPSDT/CCP
    Medicaid Policy and Procedures
    MHMR of Tarrant County Operating Procedures
    Ability to demonstrate flexibility with work, attitude and communication with ECI staff and families.
    Ability to demonstrate emotional control, good judgment and safe practices when under stress.
    Ability to demonstrate ethical and professional behavior
    Ability to independently plan and organize work.
    Above average record keeping, time management and organizational skills.
    Ability to understand and implement fairly complex written and verbal instructions.
    Knowledge of services provided by ECI.

    Ability to strive to make effective working relationships with ECI staff, team members and families that are characterized by mutual support, open communication, trust and respect.

    Ability to problem solve with infrequent assistance from supervisor. Identify and use a rational approach for the situation.
    Communicate problems and decisions to the supervisor.

    Ability to discuss uncomfortable and potentially conflict producing topics in a professional and effective manner with families, community agencies and other ECI staff.

    IV) Internal & External Customer Service
    This position requires extensive internal (team members, agency personnel) and external contacts. The position will accomplish this with above average written and oral skills.

    V) Travel
    This position requires driving to and from locations for work and/and may require overnight traveling.

    Employees are required to have a license in good standing and be able to be covered by agency liability insurance.

    If personal vehicle is utilized for work travel, then maintaining personal auto insurance coverage is required.
    Defined Experience
    Clerical experience with preferable experience in insurance verification, billing verification and/or medical billing
    Substitutions
    None
    Required License
    Valid Texas driver's license with an acceptable driving record.
    Must provide license (if applicable) and official documentation of all educational attainment i.e. Transcript/Degree/Certificate
    Required Supervisory Experience
    0 year(s)
    Testing Requirements
    Pre-employment tests including drug and TB Screening, Physical Exam including balance and lift test.
    Satori Alternatives to Managing Aggression (SAMA) Protection
    Lifting Requirements
    None

    All staff are required to participate in agency Emergency Preparedness and Environmental Safety programs and may be assigned by their departments as a key/essential staff level function during critical events or for the purpose of sustaining business continuity.

    This position may require temporary or permanent re-assignment to any MHMR Tarrant facility as determined by program needs and /or the Division/Director.

    Assigned work hours may change as the needs of the agency change.
    The functional Title of this position may change as the needs of the agency change.
    All work will be complete within the scheduled work hours.

    All non-exempt (hourly) employee are expected to clock In and out for each work shift, no work done should be done off the clock.

    Prior approval from supervisor is required for all Paid Time Off (PTO) and Overtime.
    MHMR reserves the tight to change, and to or eliminate a position as it deems appropriate.
    Employment is at will, as well as agency needs may change.
    Agency dress code is to be followed at all times.
    Physical on-site presence, including regular attendance and punctuality is an essential function of this position.

    Any change or adjustments to your assigned work schedule or shift hours must be approved by your supervisor in advance.

    Our total rewards program offers benefits* to full time employees beginning 1st of the month following hire date including but not limited to:


    • Comprehensive healthcare options (Medical, Dental, and Vision)
    • Life insurance and additional supplemental accident and hospitalization plans
    • 401a match and 457 deferred compensation plans
    • Paid vacation and holidays; varied flexible work environment locations
    • Student Loan Forgiveness
    • Professional development programs and training

    Insurance eligibility:

    • Full time employees begin 1st of the month following hire date
    • Market driven positions (full time or part time) begin immediately after hire date
    • Select part time market driven positions are eligible for most insurance plans
    • Substitute status jobs are not eligible for benefits
    Additional Information
    *MHMR of Tarrant County ("MHMR") and its affiliates and subsidiaries have an internal recruiting department. MHMR may supplement that internal capability from time to time with assistance from temporary staffing agencies, placement services, and professional recruiters herein after referred to collectively as "Recruiters"). Recruiters are hereby specifically directed NOT to contact MHMR employees directly in an attempt to present candidates – MHMR recruiting team or other authorized MHMR personnel must present ALL candidates to hiring managers. For more information please visit our website

    MHMR is an equal opportunity employer.

    MHMR prohibits employment discrimination based on race, color, religion, sex, national origin, age, covered veteran status, disability, sexual orientation, trans-gender, gender expression, gender identity or any legally protected characteristic.

    U. S. Patents 7,080,057; 7,310,626; 7,558,767; 7,562,059;

    7,472,097; 7,606,778; 8,086,558 and 8,046,251.

    #J-18808-Ljbffr
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