- Facilitate and use best strategies for the optimization of revenue, billing, and collections process.
- Research coding, billing, and charge compliance issues. Recommend and implement corrective action.
- Perform Accounts Receivable detail editing prior to the month end billing process. This includes suspense errors, duplicate service check, service review to the proper pay source, and a final edit check.
- Process the month-end Accounts Receivable billing in Credible for all payors.
- Analyze and manage client accounts. This Includes account adjustments, rebilling, and client and 3rd party payment posting and denial management. This also includes understanding of system AR balances and financial setup arrangements to be able to assist consumers and staff with any questions.
- Abide by all applicable confidentiality laws and requirements.
- Oversee change control process as it relates to the billing cycle (such as charge master and billing table updates) and ensure proper analysis and communication is completed.
- Assist with the development of project work plans when needed and manage special projects as needed.
- Interface with clinical teams, information technology staff, other finance team members and third parties as needed.
- Review contract terms and conditions related to the revenue process to determine required deliverables for billing.
- Collaborate with leadership and end users to identify opportunities for optimization of system.
- Apply payments in Credible and GP upon receipt.
- Generate and distribute accounts receivable aging reports no less than monthly.
- Generate and distribute monthly billing related activity reports, such as total revenue billed, unbilled services, payments applied, adjustments and write-offs.
- Assist in bank account reconciliations.
- Prepare bank deposits and general ledger entries when needed.
- Performs other related duties as assigned
- High School Diploma (or Equivalent)
- 5+ years experience in medical/healthcare/behavioral health/nonprofit billing. Proficiency in medical coding, billing software, and electronic health record (EHR) systems.
- Class C Driving License
- Understand the revenue cycle/process and the importance of maximizing billing and timely collection of payments. Organized, problem solving skills and attention to details
- Moderate level of experience with Excel and proficient with business software tools. High level of competency in managing large volumes of data. Ability to troubleshoot and problem-solve complex billing matters. Foster a positive and collaborative team environment across departments and programs
- Strong work ethic and practice of One Team style as well as an ability to maintain healthy accountability for your respective job duties. Great attention to detail, ability to work with others and prioritize work
- Preferred Skills/Experience: Associate degree, previous medical billing experience focused on nonprofit healthcare organizations, certification in Medical Billing and Coding is highly desirable.
- Medical, Dental, Vision Insurance
- Life and Long-Term Disability Insurance
- 401k plan
- Vacation time
- Twelve (12) Paid Holidays
- Education Reimbursement Program up to $500 per year
- Referral Program
- Employee Assistance Program
- An environment of like-minded people reaching for the same goal
- Serving the underserved community
- A sense of purpose
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Senior Billing Specialist - Fresno, United States - Kings View Corporation
Description
Job Description
Job DescriptionApply Here:
Kings View is a nonprofit leader in providing behavioral health services to the underserved community, is currently seeking a driven Senior Billing Specialist to join our mission to provide compassionate services to those with limited resources. Our ideal candidate will have a passion to promote social justice and societal awareness, respect for human dignity, and lead with integrity while listening and responding to the community in need.
Senior Billing Specialist (981)
Fresno, CA
Reporting to the Controller/Accounting Manager, the Senior Billing Specialist is responsible for the oversight of billing and activities related to Kings View fee-for-service mental health programs. This includes timely and accurate billing, collection, payment application, denial management and other revenue cycle duties as assigned.
How will I contribute
What I bring
The Benefits
Who We Are
Since 1951, Kings View leads the community in providing behavioral health services to the underserved population. We have a strong tradition of commitment, and we focus on serving rural communities where health resources are often limited. Our people treat the community with care and compassion. We stand by our cornerstone and philosophy of valuing each person's worth, dignity and wholeness in body, mind, and spirit. Our principal core values echo throughout the organization and into our patient-focused programs. At Kings View we are dedicated to continuing our demonstration in the unparalleled commitment to wellness and recovery within each community we serve. Join us and apply today.
