Billing and Collections Supervisor - Behavioral Innovations

Overview:

Position Summary: Coordinates, performs a variety of administrative duties required for provider credentialing and enrollment. Interacts extensively with providers, enrollment staff, insurance plans, HR recruitment, clinical departments, and leadership to facilitate provider enrollment, and to maximize reimbursement for services rendered.

Duties & Responsibilities

• Define and lead new process improvements for the department
• Balancing and managing accounts related to cash in Central Reach
• Working knowledge of remits codes related to electronic remits and hard copy remits
• Ability to research unidentified payments or recoupments to determine correct transactions using various payer platforms or through the bank.

• Evaluates payments/denials received for correctness and ensures they are applied accordingly.

• Identifies bad debt write-offs and A/R adjustments. Initiates write-offs and adjustments in accordance with policies and procedures.

• Identifies any overpayments and/or duplicate payments and investigates and resolves accordingly.

• Maintains contact with other departments to obtain patient or insurance information needed for claim payment.

• Ensures that the activities of the collection operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulation, guidelines, and requirements.

• Verifies billing accounts with accounts receivable ledger to ensure that all payments are accounted for and properly posted.

• Reducing outstanding A/R and aging reports

• Strong interpersonal and communication skills with an ability to work effectively with teams, managers, and executive staff.

• Respond to any call/email received from either client or center within 24 hours from initial receipt.
• Strong interpersonal and communication skills with an ability to work effectively with teams, managers, and executive staff.
• Maintain the strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Maintain a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
• Basic proficiency with Microsoft Word/Excel
• Must possess excellent analytical, problem solving, organizational skills and ability to communicate and provide feedback in a professional manner; use good judgement and make sound decisions and behave with tact, decorum, and diplomacy.

Requirements:

• Associates degree and three (3) years relevant experience in credentialing or related work experience may be substituted in lieu of educational qualifications.
• 1-3 years of knowledge in a behavioral health or medical clinic setting preferred, but not necessary.
• Exhibit high quality work
• Use excellent judgment
• Communicate clearly
• Take the initiative to identify and resolve issues
• Willing to learn and take on new tasks
• Demonstrate resourcefulness and cooperation
• Exhibit BIs core values in all interactions

Work Environment: Physical Demands

This position will work in the Corporate (Home) Office location. This is a high growth, fast paced organization and the work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Mental acuity to collect and interpret data, evaluate, reason, define problems, establish facts, draw valid conclusions, make valid judgement and decisions.
• Must be able to receive detailed information through oral and written communication.
• Must be able to communicate, convey and exchange information through oral and written communication.
• See near and far distances and distinguish colors.
• Noise level low to moderate

Professional:

• Demonstrating and promoting cultural values: Caring, Accountable, Collaborative, and FamilyFocused. Adherence to policies and procedures (Code of Conduct, HIPAA, documentation standards, etc.).

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