Behavioral Health Billing Supervisor

3 weeks ago

Louisa, United States Addiction Recovery Care Full time
Job DescriptionJob Description

Are you looking for the best place to work?  Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees

Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients and team members?  ARC has been leading the way and has become one of the fastest growing healthcare systems in Kentucky (and beyond) in addiction treatment, mental health services and improving lives by creating opportunities for people to discover hope and live their God-given destiny

ARC is ready to offer you “The B.E.S.T. of ARC” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors.  ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship,  and stewardship are key elements of every thing we do

We are hiring a Behavioral Health Billing Supervisor for our growing team  The Behavioral Health Billing Supervisor  is responsible for overseeing the day to day operations of the assigned section of Medicaid Billing for Behavioral Health. This person is responsible for the submission of timely billing, ensuring claims are sent to insurance companies appropriately. This position requires the ability to closely monitor all aspects of billing in both the EMR and Practice Management System software. Must have the ability to produce and present detailed billing activity reports on a regular basis as requested by their supervisor.
Key Responsibilities:

 
  • Oversee day to day operations of the assigned section
  • Understands and remains updated with current coding and billing regulations and compliance requirements 
  • Supervises billing staff assigned 
  • Lead team members through denials resolution for payment processing 
  • Responsible for reviewing daily claims for accuracy 
  • Responsible for monitoring rejected claims daily 
  • Responsible for monitoring incomplete claims daily 
  • Responsible for monitoring On Holds for claim adjustments (transmitted by mistake, needs removed from CMD)
  • Responsible for monitoring KIPU billing report 
  • Responsible for denial projects 
  • Hands on training for new and present staff 
  • Responsible for managing Do Not Bill list 
  • Review submissions for accuracy
  • Send items to correct list 
  • Notices trends impacting reimbursement and takes appropriate action to notify staff and make changes as needed
  • Responsible for monitoring ERA’s for payments denials and/or reversals
  • Motivates employees to achieve peak productivity and performance 
  • Coordinates team members time off in a manner that does not negatively impact daily functions
  • Always conducts self in a professional manner  
  • Responsible for being knowledgeable and understanding of all aspects of the billing staff duties to include but not limited to:

 ○ Verifying client demographics and insurance information

 ○ Verifying client authorizations 

○  Enter charges accurately according to insurance payors/contracts 

  • Submits clean claims by attaching necessary documentation for payment
  • Observes strict HIPAA confidentiality in dealing with client information 
  • Other duties assigned by supervisor 
  • Performs related duties as required

Key Experience and Education Needed:

  • High School Diploma or GED 
  • Associates degree preferred but not required

Other Qualifications to be Considered:

  • Knowledge of applicable regulatory requirements sufficient to ensure compliant operations and to exercise judgment and critical thinking in addressing operational and/or regulatory issues
  • Excellent keyboarding and 10-key skills are required 
  • Strong computer and math skills 
  • Knowledge of medical insurance, payer contracts, and basic medical terminology and abbreviations 
  • Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions. 
  • Effective organizational and problem-solving skills are required 
  • Demonstrated ability with medical billing systems and third-party payment processes are required. 
  • Good verbal and written business communication skills sufficient to clearly document issues and effectively communicate. Ability to maintain confidentiality and handle crisis situations in a calm and supportive manner
  • Ability to exhibit professional and courteous behavior, consistent with the ARC mission statement, when interacting with persons of varying backgrounds and education levels to create a safe and healthy relationship with clients served.  

ARC full-time employees enjoy very attractive benefits packages for employees and their families to include health, dental, vision, life insurance, a wide array of ancillary insurance products for life’s needs, 401(k) plan with company matching and to ensure the work-life balance - generous paid vacation, sick, holiday and maternity/paternity leave policies.

Come join the ARC team and transform lives anchored in strong family relationships, social responsibility and meaningful career paths by empowering our nationally recognized crisis to career model while being your B.E.S.T.



Addiction Recovery Care, LLC and its affiliated entities are an equal opportunity employer.

ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.

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