Remote Billing Specialist, Berea or Toledo OH Position

16 hours ago

Berea, Ohio, United States OhioGuidestone Full time

Job Summary:

We are seeking a highly skilled Billing Specialist to join our team at OhioGuidestone. As a key member of our finance operations, you will be responsible for gathering and collecting data, calculating charges and fees, and creating invoices to collect payments for services provided by the agency.

About the Role:

  • Responsible for completing all aspects of the revenue cycle, including but not limited to:
  • Submits billing for processing in a timely manner as dictated by supervisor or per each contract or grant, and provides reports to management.
  • Conducts appropriate claims tracking and resolution.
  • Maintains payer communications files, responds to inquiries from payers and patients regarding insurance claims status, and submits appropriate rebilling.
  • Maintains cash sheets in date order and ensures that each are accounted for every month.
  • Assists in maintaining compliance with current governmental and payer regulations.
  • Verifies benefits with Medicaid, commercial insurance companies, the Mental Health Boards and other payers or funding sources to obtain client benefits and funding information and communicates information obtained to clients and/or staff.
  • Maintains client financial and communication records and ensures that all necessary paperwork is accounted for.
  • Determines ability to pay and facilitates collection of co-pays, deductibles, and private pay balances.
  • Coordinates with Fintake staff during routing of agency referrals to ensure efficiency and accuracy of information.
  • Obtains enrollments with the local board for reimbursement and follows up on outstanding requests.
  • Collaborates with clinical staff to obtain and maintain authorizations for services.
  • Runs receivables report monthly and performs follow-up to ensure payment is received and A/R is maintained within established guidelines.
  • Runs Billing and A/R reports for validation and audit purposes.
  • Submits electronic claims daily and prepares and submits paper claims as needed.
  • Posts payments to client accounts and performs collections activities on past due accounts.
  • Reconciles client accounts and recommends adjustments as appropriate.
  • Performs audit of claims in accordance with policy/procedure.
  • Prepares monthly invoices in accordance with grant and funding requirements.
  • Monitors contract utilization for compliance with agreements.
  • Coordinates with program staff to ensure that funding requirements are met.
  • Crea'tions and processes electronic invoices from billing software.
  • Maintains a file for each contract with billing documentation and contract information.
  • Escalates Billing/Accounts Receivable questions or concerns to the Team Lead.
  • Develops and maintains processes to increase the efficiency of the Billing department.
  • Must maintain regular and reliable attendance to the satisfaction of management.
  • Exhibits positivity, flexibility, and a willingness to take on new responsibilities as requested or required.
  • Demonstrates positive leadership, promotes a team-based work environment, and presents the Agency in the most positive light with all internal and external contacts.
  • Employee may be asked to complete related duties other than those indicated above as assigned by their supervisor.

Salary and Benefits:

The estimated salary range for this position is $55,000 - $65,000 per year, depending on experience. Additionally, we offer a comprehensive benefits package, including health insurance, retirement plan, paid time off, and professional development opportunities.

Requirements:

  • High School Diploma or GED required.
  • Medical Billing Certificate preferred.
  • 2 or more years of experience in billing with knowledge of commercial insurance and Medicaid policies and benefits, required.
  • Knowledge of CPT, HCPCS, and ICD-9/ICD-10 coding, as well as requirements for federal and Ohio billing regulations, and third-party insurance requirements required.
  • Must have a valid Ohio Driver's License with a safe driving record and valid insurance.
  • Ability to take and pass a physical exam and drug screening.
  • Employment is contingent upon clear results of a thorough background check.

About Us:

At OhioGuidestone, we care about the health and safety of our employees. We require applicants to complete a pre-employment screening process upon receipt of an offer of employment. We cover the cost of a fingerprint background screening, physical, Tuberculosis test, and drug screen after an employment offer is made. Any employment offer is contingent upon receipt of all satisfactory pre-employment screenings.

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