Residential Billing Manager

2 weeks ago

Brentwood, United States Outreach Development Corp. Full time
Job DescriptionJob Description

Outreach is a non-profit organization that helps people address the issues stemming from substance use and behavioral health disorders by providing the highest quality, life-changing treatment, training, and tools to build healthy lives. Our mission is to inspire individuals and families to achieve a life of unlimited potential by developing and delivering the highest quality evidence-based behavioral health services and training. For more information, please visit www.opiny.org.

Position: Residential Billing Manager

The position reports to the Assistant Vice President of Residential Services. The position will also work closely with the central billing office and be a go between them and the programs. It manages, monitors, and ensures the execution of the billing and collections for all services rendered by the residential programs.

The position is responsible for making sure that services rendered are billed correctly, fees are established and applied on a consistent as well as equitable basis, accurate records are maintained, bills are processed and collected expeditiously, and reports are produced on a timely basis showing status of processed and pending bills.

The position is co-responsible for the supervision of all the full and part-time client billing associates in the residential programs.

Job Scope

Documentation & Verification

Coordinates with the affected staff to make sure that the following tasks are performed.

  • Obtains authorization/pre-certification for new clients’ treatment.
  • Verifies client’s insurance before admission and as needed during the treatment episode.
  • Performs day to day financial transactions including verifying, classifying, computing, posting, and recording accounts receivable data.
  • Tracks clients’ authorized visits.
  • Matches billing accounts with accounts receivable ledger to ensure that all payments are accounted for and properly posted.
  • Notifies unit secretaries/support staff of any change in client’s Medicaid/Child Health Plus or insurance benefit status.
  • Interacts with counseling staff/supervisors to obtain information required for authorization of services and/or to ensure that appropriate calls are made by counseling staff to obtain authorization. Distribute insurance treatment plan to counselors for clients’ ongoing treatment authorization.
  • Stays current on regulatory changes related to Medicaid, Child Health Plus and other that impact billing...addresses these changes within the billing system and with affected staff/managers.

Establishing Fees

  • Implements written procedures to ensure consistency in establishing fees as well as collecting them.
  • Provides guidance to other staff involved in establishing and collecting fees.
  • Receives financial information from the intake worker for a new client...based on insurance and salary data assigns the client a fee utilizing the "discounted daily rate fee schedule" and confirms that the client accepts fee so that admission can be scheduled.
  • Work with low-income families in applying for Medicaid or Child Health Plus, assists them with the preparation of the Medicaid/Child Health Plus application, liaisons with appropriate contact personnel in expediting process.

Billing

  • Responsible for billing all self-pay clients as well as for billing the self-pay portion of clients covered by commercial insurance.
  • Ensures that central billing & collections prepares and submits Medicaid claims/Child Health Plus as well as third party insurance claims monthly or on a more frequent basis, as appropriate.
  • Faxes required documentation including information related to the level of care determination and/or treatment plan, as appropriate, to insurance companies.
  • Removes client from Medicaid/Child Health Plus within 48 hours of a client’s discharge.

Collection, Tracking & Reporting

  • Processes accounts and incoming payments in compliance with financial policies and procedures.
  • Notifies counselors of any requests the insurance company has for information.
  • Follows up with counselors to ensure completion of any re-certification for additional visits.
  • Generates reports from billing system detailing accounts receivable status and distributes to Directors.
  • Troubleshoots any billing/payment problems.
  • Collects family fees from the parents/guardians during Parent Support Group evenings.
  • Meets with clients, significant others, or guardians.to ensure payments are up to date and, if necessary, discuss any financial situations that need to be addressed.
  • Works with central billing to bill insurance, collect and document payments and follow up on denials.

Public Assistance

  • Ensure all public assistance application are completed within 72 hours of a client’s admission to Outreach.
  • Ensure Removes client from Public Assistance case within 72 hours of a client’s discharge.
  • Ensure that clients PNA money received monthly and after they have been discharged from Outreach.
  • Functions as a liaison between Outreach and county, state, or other public assistance programs.
  • Ensure effective monitoring of public assistance for all clients whose application has been accepted.
  • Troubleshoot any billing/payment problems that are occurring with public assistance organizations.
  • Ensure timely collection of fees from the clients, significant others, or guardians.
  • Adjusts daily rate as needed as it relates to changes in reimbursement from the public assistance and income due to clients working.

Supervision

  • Provides billing related supervision to all client billing associates.
  • Provide training to all client billing associates on residential billing related reasonability’s.
  • Work with residential program directors on administrative supervision of client billing associates.
  • Co-facilitates yearly evaluation process with residential program directors.

Other

  • Perform other tasks assigned (on an as needed basis) by the supervisor.

Qualifications

  • Prior Medical Billing experience is required.
  • Knowledge of Medicaid, Child Health Plus and other benefits programs directed at low-income households desirable.
  • Strong problem-solving skills.
  • Personal drive, action-oriented, quick learner.
  • Ability to thrive in a busy, fast-paced team environment as well as work independently.
  • Adept in Microsoft Office Outlook, Word, and Excel.
  • Strong communication and people skills.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Must have ability to travel among assigned sites as needed. There may be long periods of standing, sitting, and computer usage.





Compensation details: 55000-65000 Yearly Salary



PI470979cfb27a-25405-34444913

  • Residential Billing Manager

    5 days ago

    Brentwood, New York, United States Outreach Development Corp. Full time

    Job Title: Residential Billing ManagerOutreach Development Corp. is seeking a highly skilled Residential Billing Manager to join our team. As a key member of our revenue cycle team, you will be responsible for managing the billing and collections process for our residential programs.Key Responsibilities:Manage and monitor the billing and collections process...

  • Residential Billing Manager

    2 weeks ago

    Brentwood, New York, United States Outreach Development Corp. Full time

    Job Title: Residential Billing ManagerOutreach Development Corp. is seeking a highly skilled Residential Billing Manager to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and collections for our residential programs.Key Responsibilities:Manage and monitor the billing and collections...

  • Residential Billing Manager

    1 week ago

    Brentwood, United States Outreach Development Corp. Full time

    Outreach is a non-profit organization that helps people address the issues stemming from substance use and behavioral health disorders by providing the highest quality, life-changing treatment, training, and tools to build healthy lives. Our mission is to inspire individuals and families to achieve a life of unlimited potential by developing and delivering...

  • Adolescent Residential Operations Manager

    2 days ago

    Brentwood, Tennessee, United States Outreach Development Corp. Full time

    Job Title: Assistant Adolescent Residential Operations ManagerWe are seeking a highly skilled and experienced Assistant Adolescent Residential Operations Manager to join our team at Outreach Development Corp. in Brentwood, Long Island. As a key member of our operations team, you will play a critical role in ensuring the smooth delivery of our adolescent...

  • Assistant Adolescent Residential Operations Manager

    6 days ago

    Brentwood, Tennessee, United States Outreach Development Corp. Full time

    Job Title: Assistant Adolescent Residential Operations ManagerWe are seeking a highly skilled and experienced Assistant Adolescent Residential Operations Manager to join our team at Outreach Development Corp. in Brentwood, Long Island. As a key member of our operations team, you will play a critical role in ensuring the smooth delivery of our adolescent...

  • Assistant Adolescent Residential Operations Manager

    1 week ago

    Brentwood, Tennessee, United States Outreach Development Corp. Full time

    Job Title: Assistant Adolescent Residential Operations ManagerOutreach Development Corp. is seeking a qualified Assistant Adolescent Residential Operations Manager to join our team. As a key member of our operations team, you will play a critical role in ensuring the smooth delivery of our adolescent residential services.Job Summary:The Assistant Adolescent...

  • Medical Billing Supervisor

    2 days ago

    Brentwood, Tennessee, United States BASS Medical Group Full time

    Job Title: Medical Billing SupervisorBASS Medical Group is a fast-growing multi-specialty group in the East Bay Area. We are seeking a detail-oriented and focused Medical Billing Supervisor with an emphasis in Professional Billing to join our collaborative team.Job Summary:The Medical Billing Supervisor will oversee the preparation and accuracy of Provider...

  • Automotive Billing Specialist

    1 month ago

    Brentwood, Tennessee, United States Lexus of Nashville Full time

    Job OverviewAutomotive Billing SpecialistLexus of Nashville is seeking a qualified Automotive Billing Specialist to manage the billing processes associated with vehicle transactions. This role involves comprehensive handling of all billing aspects related to vehicle sales. The successful candidate will possess the capability to analyze and interpret sales...

  • Licensed Social Worker

    3 weeks ago

    Brentwood, Tennessee, United States Outreach Development Full time

    Residential Social Worker OpportunityWe are seeking a skilled and compassionate Residential Social Worker to join our team at Outreach Development. As a key member of our treatment team, you will provide long-term supervision, support, and clinical services to chemically dependent adolescents in a residential setting.Key Responsibilities:Conduct weekly group...

  • Patient Billing and Collections Specialist

    2 weeks ago

    Brentwood, Tennessee, United States Rezult Technology Full time

    Job SummaryWe are seeking a highly skilled Patient Billing and Collections Coordinator to join our team at Rezult Technology. As a key member of our revenue cycle team, you will be responsible for ensuring timely and accurate billing and collections for our patients.Key ResponsibilitiesRun daily reports to identify self-pay patients requiring card...

  • Nurse (RN) - Residential Program Coordinator

    2 weeks ago

    Brentwood, Tennessee, United States Outreach Development Corp. Full time

    Job Title: Registered Nurse - Residential ProgramOutreach Development Corp. is seeking a highly skilled and compassionate Registered Nurse to join our team as a Residential Program Nurse. As a key member of our healthcare team, you will be responsible for providing high-quality nursing care to adolescents in our residential treatment program.Job Summary:The...

  • Substance Abuse Counselor

    5 days ago

    Brentwood, New York, United States Outreach Development Corp. Full time

    Job Title: Substance Abuse Counselor - ResidentialAt Outreach Development Corp., we are seeking a highly skilled and compassionate Substance Abuse Counselor to join our team. As a key member of our residential treatment program, you will play a vital role in supporting adolescents struggling with chemical dependency.Key Responsibilities:Provide weekly...

  • Experienced Plumber

    4 weeks ago

    Brentwood, Tennessee, United States gpac Full time

    Job SummaryWe are seeking a skilled and motivated Plumbing Professional to join our dynamic team at GPAC. This role is perfect for a professional with experience in both residential and light commercial plumbing projects who is ready to take on new challenges and lead a team to success.Key Responsibilities:Project Leadership: Lead and execute the...

  • Adolescent Residential Social Worker

    6 days ago

    Brentwood, Tennessee, United States Outreach Development Corp. Full time

    Job Title: PT Adolescent Residential Social WorkerOutreach Development Corp. is seeking a qualified candidate for a part-time Social Worker/Counselor position in our Adolescent Residential Program located in Brentwood, NY.Job Summary:We are looking for a skilled and compassionate Social Worker/Counselor to join our team. The successful candidate will be...

  • Per Diem Substance Abuse Counselor

    2 weeks ago

    Brentwood, Tennessee, United States Outreach Development Full time

    Job SummaryWe are seeking a qualified Per Diem Substance Abuse Counselor to join our team at Outreach Development. As a Per Diem Counselor, you will be responsible for providing clinical services to adolescents in our residential facility.Key ResponsibilitiesDeliver and implement long-term supervision, support, and clinical services to chemically dependent...

  • Per Diem Substance Abuse Counselor

    4 weeks ago

    Brentwood, Tennessee, United States Outreach Development Full time

    About the RoleWe are seeking a qualified Per Diem Substance Abuse Counselor to join our team at Outreach Development. As a member of our adolescent residential facility, you will play a vital role in providing clinical services and support to chemically dependent adolescents with co-occurring mental health problems.Key ResponsibilitiesConduct initial and...

  • Substance Abuse Counselor

    2 weeks ago

    Brentwood, New York, United States Outreach Development Corp. Full time

    Job SummaryOutreach Development Corp. is seeking a highly skilled Substance Abuse Counselor to join our team at our adolescent residential facility. As a Substance Abuse Counselor, you will play a vital role in providing long-term supervision, support, and clinical services to a population of chemically dependent adolescents with co-occurring and mental...

  • Adolescent Residential Social Worker

    3 days ago

    Brentwood, Tennessee, United States Outreach Development Full time

    Job SummaryWe are seeking a qualified Part-Time Social Worker/Counselor to join our team at Outreach Development. As a key member of our Adolescent Residential Program, you will provide direct clinical services to adolescents in a substance abuse treatment setting.Key ResponsibilitiesFacilitate various formats of therapy, including individuals, groups, and...

  • PT Adolescent Residential Social Worker

    6 days ago

    Brentwood, New York, United States Outreach Development Corp. Full time

    Job SummaryWe are seeking a qualified Social Worker / Counselor to join our Adolescent Residential Program team. As a key member of our team, you will provide direct clinical services to adolescents in a substance abuse treatment setting.Key Responsibilities:Facilitate individual and group sessions, as well as specialty groups, in a professional and caring...

  • Social Worker

    1 day ago

    Brentwood, Tennessee, United States Outreach Development Corp. Full time

    Job SummaryWe are seeking a qualified Social Worker / Counselor to join our Adolescent Residential Program team. As a key member of our team, you will provide direct clinical services to adolescents in a substance abuse treatment setting.Key ResponsibilitiesFacilitate individual and group sessions, as well as specialty groups, in a professional and caring...