Intake Billing Coordinator

SUMMARY: Under the supervision of the Program Director, the Intake/Billing Coordinator performs complex billing work involving the interpretation of detailed materials and instructions containing considerable quantitative date; prepare, maintain or check financial reports. Prepare initial billing documents; monitor and follow-up on open receivables; compute and verify health care charge data; and do relate duties as required. The intake biller is responsible for multi-tasking and being detail oriented, making sure proper documentation is in place.

DUTIES AND RESPONSIBILITIES

• Prepare and review billing documents and collection of revenues from third party payor programs and patients.

• Checks and verifies charge rates and service, reconciles patient account balances, verifies payments, completes crossover billing. • Reviews billing system and documents to assure program compliance for Medicare, Medicaid, Mental Health, CMBHS systems and insurance programs; assures that all appropriate medical documentation is submitted with the billing package.

• Documents billing and payment information for fiscal files, posts payments to the billing system account claims line(s)

• Maintains information or operational records; screens reports for completeness and arithmetical accuracy.

• List, abstracts, or summarizes data; compiles routine reports from a variety of sources.

• Receive and process referrals from State Hospitals and LMHA/LBHA, Verify completion of pre-engagement services, Anticipate and review referral packets, Log referrals and track HHSC eligibility determinations, Prepare for immediate engagement upon participant selection.

• Coordinates with the Program Director for capacity and capability reviews.

• Tasked with claim submission, appeals, and revenue cycle management.

• Prepares bills, computes and receives fees when the amount is not in question or is readily obtainable from fixed schedules; posts data to the billing system; maintain records, and reports in accordance with predetermined forms and procedures.

• Ensure that all progress notes are verified and meet billing requirements.

• Adhere to all Medicaid and HHSC regulations regarding billing requirements.

QUALIFICATIONS

• High School Diploma or equivalent
• One year of medical billing experience
• Medicaid and Clinical Management for Behavioral Health Services systems is a plus
• Six months of clerical experience
• Strong proficiency with Smartsheet, SharePoint, Microsoft Office applications, specifically Word, Excel, Outlook, and internet applications
• Ability to enter data into various EHR, MHRS, as well as other computer systems while maintaining the integrity and accuracy of the data
• Professionalism, punctuality, flexibility, and reliability are imperative
• Culturally competent, and able to work with diverse populations
• Excellent verbal, written, and interpersonal skills
• Integrity to handle sensitive information in a confidential manner
• Excellent organizational skills and ability to multitask and juggle multiple priorities
• Strong initiative, enthusiasm, and a willingness to pitch in whenever needed
• Ability to communicate well at all levels of the organization (including
• General understanding of third-party payor programs and billing procedures
• 10-key proficient
• Knowledge of mental illnesses, behavioral disorders, co-occurring disorders, and trauma informed treatment
• Knowledge of clinical documentation (treatment plans, progress notes etc.)

PHYSICAL DEMANDS AND WORK ENVIRONMENT

• Ability to walk or stand for long periods of time.
• Ability to travel and work in an office environment.
• Ability to climb stairs multiple times a day and be able to lift and/or carry up to 25 pounds.
• Ability to sit, rise, kneel, squat, twist, pull, bend multiple times a day.
• Ability to perform with repetitive maneuvers and manual dexterity.