PRIMARY PURPOSE

The Billing Associate works closely with insurance carriers, providers and fellow staff to meet the billing and payment needs of our patients and the organization as a whole.

EDUCATION AND CERTIFICATION REQUIREMENTS

• Must have a high school diploma or GED.

SKILL AND EXPERIENCE REQUIREMENTS

• At least 2 years of experience with coding and billing in a healthcare setting.
• Previous experience in Behavioral Health/Mental Health billing is a plus.
• Must have knowledge of insurance processes and procedures and CPT/ ICD-10 Codes.
• Strong computer skills with proficiencies in Outlook, Word, Excel, and electronic claims filing.
• Knowledge medical terminology in order to properly code.
• Ability to independently coordinate multiple tasks.
• Ability to maintain a calm and professional demeanor and communicate enthusiastically with patients.
• Ability to be responsive in working with a culturally-diverse patient population.
• Ability to work cooperatively with others.

ESSENTIAL FUNCTIONS

• Gather all pertinent information required to complete the billing process which includes but is not limited to the follow actions:
  • enter charges, payments, and adjustments into the practice management system
  • prepare and transmit electronic insurance claims
  • print and mail paper insurance claims and patient statements
  • review denied claims and resubmit as appropriate
  • monitor reimbursements
  • Investigate instances of low reimbursement and stay current with changes in reimbursement regulations.
• Must maintain accurate records.
• Obtain patient financial history and determine their ability to pay current charges based on federal poverty guidelines, when needed.
• Comply with HIPAA guidelines as all times
• Must maintain infection control standards at all times per organization policy.
• Must have knowledge of the LCH&D Continuous Quality Improvement Plan
• Deliver care and services in accordance with the Organization’s philosophy of “partnership” with patients and integration of the Organization’s values of Respect, Quality, Compassion and Hope.
• Provide input and recommendations to enhance the growth and success of the organization.
• Make every attempt to meet daily goals and objectives as defined by the organization.
• Assume all other reasonable duties and responsibilities as directed by the organization's leadership.
• It is the responsibility of every employee to ensure that executive management is made aware of any issues that could negatively impact the organization or its relationships with patients, and the community. Also to report any and all violations and infractions against the organization's vision, mission, and values.

PHYSICAL DEMANDS

• Extensive use of computer and telephone.
• Some lifting of supplies and equipment up to 50 lbs.
• 20% walking or standing, 80% sitting at a desk.
• Category III re: exposure to blood, bodily fluids, and communicable diseases.

BENEFITS

• Excellent Training and Orientation Program
• Paid Holidays
• Generous Paid Time Off (PTO)
• Health, Dental, and Vision Insurance
• Prescription Coverage
• Employer Paid Life Insurance
• Employer Paid Short- and Long-Term Disability
• 401(k) Retirement Plan
• Giving back, outreach, and true advocacy to the patient community we serve.

Equal Opportunity Employer