- Professional
- Optionales Büro in Flint
The Biller (NP/SE) is a key associate at Hope Network whose primary responsibilities include: Assisting the organization with meeting its projected annual budgetary goals by reviewing accuracy and correction of front-end data entry to create accurate claims and allowing for timely billing and collections. The SL Biller may participate in activities that include, but are not limited to, the verification / eligibility of benefits, invoicing, maintaining status updates, working with HNLC Revenue Management Dept. to submit/resubmit claims, post cash, and collection of problematic and aged claims. The SL Biller has a high degree of personal integrity, is detailed, and organized, has excellent customer service, generates positive energy and makes a difference every day. This position promotes recovery-based, person-centered, and culturally competent practices.
- Wage $15.00/hr
- 15 to 20 hours a week (specific days and times will be addressed with Hiring Manager)
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
This is not intended to be an exhaustive listing of job functions. This job description in no way states or implies that these are the only duties to be performed by this workforce member. The workforce member is required to follow any other instructions and to perform any other duties as assigned by the supervisor.
- Know the regulatory, operational and contract requirements for your service areas; including but not limited to: general operational practices, program milieu, CPT/HCPCS codes, timelines and other requirements as outlined in regulatory guidelines and funder contracts/billing manuals.
- Maintain timely and accurate processing for all valid billing related transactions via review of admissions, demographics and insurance information, services, status check or claims reports, AR data or other means of verifying accurate data entry and timely processing/reprocessing of claims.
- Assist HNLC Revenue Management Dept. in collecting 95% of billed services within 60 days of billing.
- Cross training on all service areas is required; routine service area rotations will occur
- Follow Hope Network internal control protocols, policies, and processes.
- Prepare, analyze, and report routine and ad-hoc data in a timely manner, as requested.
- Resolve routine questions and problems, referring more complex problems to supervisor.
- Keep supervisor and program management abreast of all outstanding issues.
- Prepare for, and participate in the facilitation of, internal and external audits, as assigned.
- Communicate courteously with customers to research and correct complaints, billing errors, or other information.
- Other duties as assigned.
Position Requirements:
- High school diploma or equivalent is required.
- Demonstrated ability to communicate in both written and verbal format to meet position responsibilities.
- Demonstrated ability to use word processing, spreadsheet and computerized billing programs including Word/Excel.
- 3 years prior work experience in a behavioral health or medical billing setting is required. Behavioral health or medical office management experience may be considered.
- Required experience will include: various insurance products, copays/deductibles/coinsurance, spend downs, processing/interpreting explanation of benefits, collections, accounts receivable and business office procedures.
- Ability to travel to other Hope Network sites when needed and requested
- valid driver’s license with acceptable driving record.
