Claims Assistant - Child & Family Focus, Inc.

Exciting News!!! Now through September 2024, Child and Family Focus is offering a $500 sign on bonus*; $250 paid on the first check and $250 on the paycheck following 6 months.

*Bonus amounts could be prorated based on number of hours worked

Position Summary:
This full-time position directly supports the final approval of fee-for-service billing in the Outpatient, Delaware County Intermediate Unit School Based Services, and First Episode Psychosis Programs. This role will work under the direction of the Program Specialist. This role requires a strong work ethic, the ability to manage a high volume of claim approval autonomously, and assurances that daily, weekly, and monthly billing expectations are met for each program. While the duties of this position can be performed remotely, it is required of this staff to report to the office a minimum of one day per week.

Required Qualifications:

• Associate’s degree in accounting, business operations, medical office management, and/or human services or related field

• Maintain compliance with and oversight of Outpatient, First Episode Psychosis, and DCIU billing procedures.
• Collect, track, and review staff’s weekly billing submissions including encounter forms, progress notes, treatment plans, consents, and timecards, when required.
• Ensure accuracy of all incoming billing paperwork through the reconciliation process.
• Maintain coordination and oversight of billing submissions and billing corrections.

• Communicate with BHMCOs and commercial insurance companies, as needed.
• Verify insurance coverage for patients within the Outpatient program prior to each scheduled appointment. Program leadership and Medical Director should be notified of rejected claims and insurance inactivity.
• Maintain up to date payer, authorization, and client responsibility amounts within EMR based.
• Manage payment collections by notifying the programs of outstanding balances and reporting back to Spectrum once the program collects the balance(s) owed.
• Utilize square to send invoices (when applicable) for balances owed and keep clear documentation of funds collected.
• Other duties as assigned.

• Work environment includes but is not limited to office, school daycares, homes, and community settings
• Work remotely in designated space which must adhere to confidentiality and HIPAA standards

Compensation and Benefits:

• Hourly rate at $17-18 an hour based on experience
• Annual Salary Increase and Bonus
• Medical and Vision Benefits offered on first day of employment, 3 plan options offered by Independence Blue Cross
• Dental Benefits offered on first day of employment, 2 plan options offered by Guardian
• Ancillary Benefits offered on first day of employment, such as Accident, Critical Illness, Cancer, Short Term Disability
• Employer Paid Long Term Disability and $50,000 Life Insurance Policy
• 9 Paid Holidays
• 17 days of Paid Time Off with additional days added through years of service
• Paid Parental Leave
• Tuition Reimbursement 
• 401K plan with company match and profit sharing
• Mileage and Expense reimbursement for travel and training
• Company Issued Equipment
• Clearance Reimbursement

We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, gender identity, or genetics. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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