Intake Billing Coordinator

Description

SUMMARY: Under the supervision of the Program Director, the Intake/Billing Coordinator performs complex billing work involving the interpretation of detailed materials and instructions containing considerable quantitative date; prepare, maintain or check financial reports. Prepare initial billing documents; monitor and follow-up on open receivables; compute and verify health care charge data; and do relate duties as required. The intake biller is responsible for multi-tasking and being detail oriented, making sure proper documentation is in place.  

 DUTIES AND RESPONSIBILITIES 

• Prepare and review billing documents and collection of revenues from third party payor programs and patients. 

• Checks and verifies charge rates and service, reconciles patient account balances, verifies payments, completes crossover billing. • Reviews billing system and documents to assure program compliance for Medicare, Medicaid, Mental Health, CMBHS systems and insurance programs; assures that all appropriate medical documentation is submitted with the billing package.

• Documents billing and payment information for fiscal files, posts payments to the billing system account claims line(s) 

• Maintains information or operational records; screens reports for completeness and arithmetical accuracy. 

• List, abstracts, or summarizes data; compiles routine reports from a variety of sources. 

• Receive and process referrals from State Hospitals and LMHA/LBHA, Verify completion of pre-engagement services, Anticipate and review referral packets, Log referrals and track HHSC eligibility determinations, Prepare for immediate engagement upon participant selection. 

• Coordinates with the Program Director for capacity and capability reviews. 

• Tasked with claim submission, appeals, and revenue cycle management. 

• Prepares bills, computes and receives fees when the amount is not in question or is readily obtainable from fixed schedules; posts data to the billing system; maintain records, and reports in accordance with predetermined forms and procedures. 

• Ensure that all progress notes are verified and meet billing requirements. 

• Adhere to all Medicaid and HHSC regulations regarding billing requirements. 

 QUALIFICATIONS 

• High School Diploma or equivalent 

• One year of medical billing experience 

• Medicaid and Clinical Management for Behavioral Health Services systems is a plus 

• Six months of clerical experience

• Strong proficiency with Smartsheet, SharePoint, Microsoft Office applications, specifically Word, Excel, Outlook, and internet applications 

• Ability to enter data into various EHR, MHRS, as well as other computer systems while maintaining the integrity and accuracy of the data 

• Professionalism, punctuality, flexibility, and reliability are imperative 

• Culturally competent, and able to work with diverse populations 

• Excellent verbal, written, and interpersonal skills 

• Integrity to handle sensitive information in a confidential manner 

• Excellent organizational skills and ability to multitask and juggle multiple priorities 

• Strong initiative, enthusiasm, and a willingness to pitch in whenever needed 

• Ability to communicate well at all levels of the organization (including 

• General understanding of third-party payor programs and billing procedures 

• 10-key proficient 

• Knowledge of mental illnesses, behavioral disorders, co-occurring disorders, and trauma informed treatment 

• Knowledge of clinical documentation (treatment plans, progress notes etc.) 

 PHYSICAL DEMANDS AND WORK ENVIRONMENT 

• Ability to walk or stand for long periods of time. 

• Ability to travel and work in an office environment. 

• Ability to climb stairs multiple times a day and be able to lift and/or carry up to 25 pounds. 

• Ability to sit, rise, kneel, squat, twist, pull, bend multiple times a day. 

• Ability to perform with repetitive maneuvers and manual dexterity.