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Client Billing Representative

3 months ago

Forest Hills, United States Bleuler Psychotherapy Center Full time

RESPONSIBILITIES:

- Ensure that accurate billing is managed for services rendered by the facility.
- Audit billing to ensure accuracy and identify any irregularities.
- Run Medicaid/Medicare eligibility via E-paces.
- Assist with billing activities such as reviewing sessions in claim maintenance, checking open balances and rejections/denials. In the event of a claim being denied, it is their responsibility to communicate with the payor and resubmit the claim if applicable.
- Ensure that all clients’ claims are appropriately managed by submitting them in a time-efficient manner.
- Ensure processing of payments from insurance companies via Inovalon clearing house. Upload and post payments in EHR.
- Issue client’s invoice and mail it when requested by client.
- Track and resolve billing discrepancies.
- Assist Intake Department to verify clients’ insurance coverage and check benefits.
- Perform appeals on denied claims.
- Manage open claims balance report.
- Collect co-payments and outstanding balances from clients.
- Process refund requests to payors.
- Work with front office to resolves any billing inquiries/issues.
- Track, monitor and collect co-pays, co-payment, sliding scale payments, etc. Maintain current Excel sheet with updated information. Submit bi-weekly report to Director of Billing and Contracts and Chief Program Officer.
- Other duties may be assigned as required.

**REQUIREMENTS**:

- Experience working with Electronic Health Records (EHR) billing systems.
- College degree or current enrollment in program and/or equivalent work experience (preferred).
- At least five (5) years of experience in behavioral healthcare billing setting.
- Must have experience with billing Medicaid, Medicare, and Commercial Payers, as well as claims denials, eligibility, modifiers, and payment posting.

SKILLS:

- Must possess a good knowledge of medical insurance practices.
- Proficient in the use of computers in filling and processing of data.
- Proficient in arithmetic to be able to perform simple calculations.
- Proficient in Excel and Word.
- Must possess good analytical reasoning and problem-solving skills.
- Must possess strong administrative skills.
- Strong ability to process data and provide accurate reports to management.
- Must possess strong interpersonal skills to develop good relationships with clients and staff.

REPORTING:

- Reports to Director of Billing and Contracts

Pay: $27.00 - $33.00 per hour

Expected hours: 37.5 per week

**Benefits**:

- 401(k)
- Commuter assistance
- Dental insurance
- Employee discount
- Flexible spending account
- Health insurance
- Health savings account
- Paid time off
- Vision insurance
- Work from home

Experience level:

- 5 years

Schedule:

- 8 hour shift
- Day shift
- No weekends

**Experience**:

- Behavioral Healthcare Billing: 5 years (preferred)

Ability to Relocate:

- Forest Hills, NY 11375: Relocate before starting work (required)

Work Location: In person