HCS Billing Specialist

2 weeks ago


Austin, United States Mary Lee Foundation Full time
Purpose: The HCS Billing Specialist is responsible for TMHP system billing and processing through proper data entry, problem solving, and documentation follow up in order to reduce billing errors and maximize revenue. The position reports to the Director of Accounting and Finance, adheres to all policies, procedures, and standards of protocol of the Mary Lee Foundation and applicable outside agencies.

Responsibilities:

Billing:
  • Responsible for collection, accuracy, calculation of billable units and billing in TMHP system.
  • Review and resolve discrepancies between data in TMHP and EVV systems.
  • Training staff on use of software.
  • Work with employees and service providers to track down and make corrections to billing documentation in a timely manner.
  • Maintain documentation to support billing.
  • Review weekly billing issues and problem solve issues including denied billing.
  • Create and implement a billing tracking Excel spreadsheet to ensure all services are billed in TMHP to maximize revenue.
  • Overall responsibility to increase cash collection and lower deficits through billing procedures and accountability.
  • Stay current on Texas billing requirements specifically related to HCS.
  • Prepare monthly revenue reports.
    Review for accuracy and enter data into TMHP including: IPCs and IDRCs.
  • Maintain a list of program due dates and email Director and Case Managers.
  • Researches issues in TMHP regarding Medicaid denials and work with appropriate staff to resolve.
  • Review MESAV service authorizations, units and flag any services with low units for IPC revisions to be completed before the units run out.
  • Responsibilities are not limited to the above list and may include other duties as deemed necessary by supervisor.
  • Other duties and special projects as assigned
Knowledge, Skills and Abilities:
  • Must have Excel skills including basic formulas, functions, pivot tables, etc.
  • Must have excellent organizational and time management skills.
  • Excellent verbal, written, interpersonal, and communication skills.
  • Problem solving skills and ability to multi-task.
  • Excellent attention to detail.
  • HCS billing experience and knowledge of Texas HCS billing requirements.
  • Knowledge and experience with TMHP or EVV software a plus.
  • Excellent proficiency in Microsoft Word, Excel, and Outlook.
Qualifications:
  • High School Diploma or equivalent required; Associates degree or higher in accounting/business preferred
  • Minimum two years of relevant experience in a similar billing or accounts receivable role
  • Must have no bars to employment pursuant to Health & Safety Code §250.006
  • Must have no bars to employment pursuant to Texas Administrative Code, Title 40, Part 1, Chapter 3, §3.201 Texas Health and Safety Code
  • Name must not appear on either the Texas or Federal Office of Inspector General's Exclusions List
  • Must be physically able to perform the duties of the position, including, but not limited to; lifting/carrying at least 50 lbs. (depending on assignment requirements), climbing stairs, bending, stooping, and driving.


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