Medical Billing Associate, Family Billing & Collections presso The Warren Center

Mission

The Warren Center advocates, serves and empowers the children and families impacted by developmental delays and disabilities.

Summary

Reporting directly to the Revenue Cycle Manager the Medical Billing Associate, Family Billing and Collections supports the overall mission of The Warren Center by effectively providing accurate medical benefits verification from all government and private medical payors to our clients and having discussions regarding the clients' portion of the medical cost.

Essential Duties and Responsibilities

To perform this job successfully, an individual must be able to perform the following satisfactorily.

Client Financial Information

• Create and maintain financial files for all clients, which includes documentation of medical billing insurance data after claims have adjudicated
• Answer incoming billing, claims, account balance and status calls
• Explain billing processes, payment policies, and financial assistance programs to clients
• Answers client inquiries regarding accounts, balances, and payments
• Enter and maintain accurate account/financial information in patient accounting system, including family income, Family Cost Share information, clinical billing information and all 3rd party payer resources
• Verify insurance eligibility and/or coverage of all insurance payors while communicating all patient responsibility with clients
• Act as a liaison between clients, healthcare providers, and insurance companies
• Act as a claims and appeal liaison on behalf of the organization with health plans

Reception Practices (backup) 

• Post electronic remittance advice (ERA) and payer responses within 24 hours of receipt
• Process electronic remittance advice (ERA) and explanation of benefits (EOB) responses, claims, resolve claims for payment, resolution, and appeal finalization
• File medical claims daily, weekly or monthly as required
• Ensure that all internal and external customers are treated with respect, provide knowledgeable answers, and a welcoming attitude
• Follow-up on staff and family service cancellations
• Intra-office communication regarding account data and claims
• And other responsibilities and duties as needed 

Education and Experience

• High school diploma or General Educational Development (GED) diploma 
• 3–5 experience in medical billing and or revenue cycle management
• Experience with ProviderSoft and/or Raintree medical software preferred (Preferred)

Additional Technical Skills, Traits and Knowledge

To perform this job successfully, an individual must be able to perform each qualification satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. 

• High energy and passion for The Warren Center’s mission is essential
• Professional, dependable, and proactive
• Strong interpersonal and communication skills, both verbal and written
• Must possess excellent time management and organizational skills
• Appropriate data and word processing skills
• Ability to use basic office technology equipment including Office 365 applications
• Demonstrate critical thinking, creativity, problem solving and decision-making skill
• Ability to read, write, perform math and accounting functions, and proof-read

Environment

The physical requirements and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.  

• Frequently required to use hands to finger, handle, or feel, and use keyboard as well as see, talk or hear
• Occasionally required to stand and move around for work
• Long periods of sitting
• The noise level in the work environment is usually moderate

Equal Opportunity Employer

The Warren Center is an Equal Opportunity Employer, and we believe in an inclusive culture for all. The Warren Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.