Billing Specialist bei Potomac Community Services

Description

A Little About Us:

Potomac Community Services has been serving individuals with mental health needs in person and in community for almost 25 years! Literally meeting people where they are and working alongside them, has developed our passion for true, client led community work helping people achieve their goals and achieve sustainable independence.

About the Job:

Let's start by saying we want to hear from you! Below is an accurate description of the job for hire but with limited space, it isn't exhaustive. If you have questions about other considerations, please don't hesitate to contact us!

The Billing Specialist is responsible for the daily submission of claims to insurance companies and third-party payers while ensuring accuracy in documentation and billing processes. This role involves working closely with case managers to track errors, making sure all necessary corrections are completed before processing. Additionally, the Billing Specialist monitors client authorizations, maintains department files, and prepares monthly billing reports. The role also includes assisting with payroll and handling delinquent accounts receivables. The position requires maintaining patient confidentiality, providing support with insurance checks, and performing administrative duties as required. The Billing Specialist will work in compliance with programmatic, state, and federal regulations, as well as PCS policies and standards of practice. They will promote awareness of mental health issues, contributing to reducing the stigmatization of such conditions within the community.

Essential Duties & Responsibilities:

• Submit daily billing claims to insurance companies and other third-party payers.
• Ensure the accuracy of documentation, including tickets and notes, within the billing system.
• Follow up on case manager errors (ticket/calendar/note) and ensure corrections are made prior to billing.
• Monitor client authorizations to ensure continued compliance with billing processes.
• Maintain billing department files, ensuring documents are scanned monthly.
• Prepare and distribute billing department reports, including the PCS Late Ticket Report and PCS Monthly Ticket Corrections Report.
• Assist Payroll with unpaid claims and follow up on delinquent accounts receivables.
• Ensure the confidentiality of all patient information in compliance with HIPAA and other relevant regulations.
• Support Authorization and Insurance checks.
• Provide administrative support, including scanning, faxing, electronic filing, and photocopying, ensuring the accuracy of all information.
• Distribute messages, faxes, and other communication to appropriate staff.
• Assist in special projects as directed by the Systems Director or Program Managers.
• Prepare correspondence, documents, and reports upon request by the Systems Director and other designees.
• Travel to other PCS offices as required to support billing operations.
• Perform other related duties as assigned to enhance billing operations and departmental efficiency

Perks:

• Casual Dress Code (company provides shirts/uniform)
• 10% discount at our company restaurant, Silt Coffee Co.
• Paid time off
• Professional development assistance
• Referral program

Work Location:

• Hagerstown, 21740: In person

Salary per hour:

• $16.75 - $19.00 per hour (will depend on experience and education)
  

Requirements

Education:

• High School diploma or equivalent (required)

Experience:

• No prior experience required; on-the-job training provided.
• Familiarity with community resources related to mental health and case management preferred.
• Data entry or billing or medical office experience preferred

Skills & Competencies:

• Proficient in Microsoft Office Suite
• Strong verbal and written communication skills.
• Basic understanding of COMAR regulations concerning mental health services and case management.
• Strong organizational and administrative skills, including the ability to manage multiple tasks efficiently.

Shift availability:

• Day Shift: Monday through Friday, 8:00 am to 4:30 pm.; but may require some evenings (case-to-case basis) or schedule depending on business need or as advised by supervisor.

Additional Requirements:

• Valid Driver’s License and dependable transportation with vehicle insurance.
• Willingness to travel between PCS offices as needed. (Our offices are in the Allegany, Carroll, Frederick, and Washington counties) -- Reimbursement available.