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JOB TITLE: Part-time Billing and Administrative Specialist (20 hours)
LOCATION: Multnomah County
REPORTS TO: Director of Treatment
CONTACT: Katelyn Bessette, Director of Treatment
Founded in 2004, Bridges to Change is a mission driven agency aiming to strengthen individuals and families affected by addictions, mental health, poverty and homelessness. Bridges to Change partners with four counties and community organizations to serve people in need of housing, mentors, and treatment.
The Billing and Administrative Specialist is responsible for the day-to-day tasks of behavioral health services billing cycle. This includes verifying eligibility, requesting authorizations from insurance companies, charge posting, charge reconciliation, payment posting, denial management, and accounts receivable follow-up. Additionally, duties will include front desk administration for BTC’s Grounded Transitions program, an intensive outpatient treatment center for adults. This position is part time, with some flexibility around hours, has potential to develop into full-time.
DUTIES AND EXPECTATIONS:
- Timely review and accurate coding of all client services
- Prepare and submit claims to various insurance companies either electronically or by paper.
- Charge entry and encounter reconciliation
- Assist management with weekly and monthly tracking, reconciliation and reporting
- Maintain current working knowledge of Medicare and Medicaid billing regulations and requirements.
- Provide guidance, assistance, and training on appropriate coding procedures
- Post payments from payers, including reconciliation to daily totals
- Obtain authorization for service from payers as needed, including coordinating with direct service staff to get required documentation
- Review of underpayments and denials, research and correct errors to maximize reimbursement.
- Follow-up with payers on unpaid claims to ensure a reasonable Accounts Receivable balance
- Ensure all work done is compliant with all billing rules and regulations, including Medicare, Medicaid, and payer contracts
- Participate in the coding and billing audit process
- Adhere to all HIPAA guidelines/regulations
- Preparing daily urinary analysis requisition forms
- Answering phone calls from community partners and scheduling screenings and intakes
- Completing intake paperwork with new clients
- Data entry and document scanning as necessary
- Office supply ordering and pick up
- Other duties as assigned
- Experience in healthcare billing and coding (CPT, ICD-10), preferably 1 to 3 years.
- Knowledge of Oregon Health Plan, including managed care plans, and Certification as a Professional Coder (CPC) preferred.
- Preferred Billing Experience: FQHC, Behavioral Health, and Substance Abuse
- Experience with electronic medical records
- Exceptional interpersonal verbal and written communication skills; organizational skills; high degree of accuracy; flexibility, ability to multi-task and prioritize effectively in a team environment
- Successful experience with Microsoft Word, Excel and Outlook
The ability to lift, carry or otherwise move objects of up to 25 pounds on a regular basis, and occasionally up to 50 pounds is also necessary.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
$14.77+ per hour, DOE