Platzhalter Bild

Hybrid Outpatient Credentialing, Contracting, and Billing Manager chez NOVA Behavioral Health

NOVA Behavioral Health · Greenville, États-Unis d'Amérique · Hybrid

Postuler maintenant

Description

NOVA Behavioral Health

Greenville, NC

Full-time


NOVA Behavioral Health is looking for a Outpatient Credentialing, Contracting, and Billing Manager to join our team of professionals. We are looking for someone that brings a positive and professional customer-service attitude to our business. If you are interested in joining a growing, successful company, then we want to talk to you!


What will your day look like as a Credentialing, Contracting, and Billing Specialist?

  • Assisting the CFO and Program Director in fiscal management activities for the organization
  • Managing billing of Medicaid and other entities for NOVA’s community behavioral health services
  • Initial credentialing and contracting of providers, and maintaining provider contracts with payors
  • Managing prior authorizations for NOVA’s community behavioral health services.
  • Assisting the CFO and Program Director with the management of NOVA contracts with payors

What will you do as a Credentialing, Contracting, and Billing Specialist?

  • Responsible for all billing and payments for NOVA’s community behavioral health services
  • Resolve discrepancies in submitted claims, billings and collections, and reports potential problems
  • Responsible for reporting insurance payments and patient responsibility payments
  • Responsible for maintaining billing records on all patients
  • Check insurance eligibility for patients and maintains updated insurance information, including co-pay amounts, in the EHR
  • Communicate estimated patient financial responsibility in advance of scheduled services to patients/ guardians, other administrative staff and providers
  • Prepare and send invoices and statements for patients
  • Responsible for prior authorizations, including: Submitting and maintaining prior authorizations coordinating with patients and NOVA personnel to obtain all documentation needed to gain authorizations, and maintaining updated authorization documentation.
  • Support the CFO and Program Director in the management, revision, and renewal of all NOVA contracts with payors
  • Ensure that NOVA providers are appropriately credentialed with necessary payors including credentialing new NOVA providers as well as renewing credentialing for NOVA providers
  • Credential and establish new locations with all payers
  • Maintain and share contracted payer changes and information with Program Director, CFO and other appropriate individuals
  • Provide correspondence and other clerical activities relative to all primary functions
  • Maintain a harmonious working relationship with co-workers and communicates pertinent matters to management in a timely manner
  • Assure that all fiscal standards, policies, and procedures are implemented, and informs the CFO and Program Director of potential errors, exceptions, or problems
  • Complete other duties as assigned

Qualities

  • Excellent computer skills
  • Organized
  • Detail oriented
  • Good communication skills
  • Team player
  • Willing and excited to learn
  • Self-motivated/Takes initiative
  • Flexible
  • Strong work ethic|

Requirements

  • High School Diploma or equivalent
  • Excellent computer and typing skills
  • Attentive to detail
  • Effective organizational and communication skills

Preferred Skills

  • Associate degree
  • Previous experience with medical/mental health billing highly preferred
  • Previous experience as a Claims Analyst highly preferred
  • Previous experience with insurance/payor contracts managing and maintaining contracts highly preferred
  • At least one year of previous business experience highly preferred
Postuler maintenant

Plus d'emplois