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North Homes Children & Family Services
Grand Rapids, MN | Full Time
$48k-65k (estimate)
9 Months Ago
Billing Specialist
$48k-65k (estimate)
Full Time | Skilled Nursing Services & Residential Care 9 Months Ago
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North Homes Children & Family Services is Hiring a Billing Specialist Near Grand Rapids, MN

Description

The primary responsibility of the Billing Specialist is to effectively perform all third party insurance and MA billings for all eligible programs of North Homes, Inc. and submit county billings for programs that include both third party insurance and county reimbursements (family services, IJC). Teamwork and positive problem solving skills are to be used in all aspects of the job. Primary duties include processing all Third Party Insurance and MA billings; the preparation of reports that reflect MA and insurance billings and payments and individual MHP and practitioner activity; monitor agency compliance with HIPAA and MHCP regulations for billing; regular and accurate communication with the Billing Supervisor in regard to these functions; and other duties as assigned by the Billing Supervisor.

MA and Third Party Insurance Billings for Outpatient Chemical Dependency, Outpatient Mental Health Services, Day Treatment, CTSS, 35-day Evaluations, and Residential Treatment

  • Develop a thorough knowledge of North Homes, Inc., HIPAA, and MHCP billing and collection policies and procedures.
  • Enforce timelines for North Homes, Inc. staffers to turn in paperwork in order to maximize revenue and provide consistent cash flow for the involved programs
  • Process necessary credentialing paperwork as needed for various insurance companies to allow us to bill insurance claims
  • Maintain the agency billing system to ensure accurate and timely completion of all Third Party Insurance and MA billing.
  • Maintain agency contracts with insurance providers in order to ensure accurate reimbursement for services.
  • Submit County billings for IJC and In-Home County contracts on a monthly basis and as needed.

Facilitate authorization and extension process for CTSS, Day Treatment, and Outpatient Mental Health patients as needed.

  • Continuously and consistently bill Third Party Insurance and MA for Mental Health Services provided by North Homes, Inc. as needed. Communicate any difficulties in gathering information, billing or collection of billed services with the Compliance Director.
  • Provide monthly reports that detail and summarize the following: Individual program billings, individual MHP billings, individual practitioner billing, and accounts receivable.
  • Review accounts receivable report with Compliance Director on an as-needed basis.
  • Participate in meetings with agency and county staff as needed and directed in order to provide agency updates and maximize MA and Third Party Insurance revenue.

Mental Health/In-Home Department Administration

  • Complete re-credentialing paperwork as needed
  • Do termination of employment paperwork to companies when therapists leave
  • Complete various applications/paperwork to attempt to credential al new therapists with insurance companies
  • Follow up with insurance companies that request more info.

Reporting / Billing

  • Ensure that accurate data is reported for Mental Health billing purposes on a timely basis as outlined by Billing Supervisor
  • Confirm the insurance coverage of all Mental Health clients and call third party insurances for approval if required as needed
  • Follow up on people who don’t have insurance but state they do
  • Send the pending sheets that require additional information from the therapist to the Billing Specialist. Send an email at the end of each month to each professional.
  • Contact the client or necessary agency if insurance is not eligible to determine the reason
  • Ensure insurance verifiability and prepare billing sheets for the new system.

Mental Health Coordination

  • Continue the development of a smoother, more efficient method of tracking vital information for billing
  • Ensure billing is submitted appropriately for services provided
  • Follow up with insurance denials – refile to appropriate comp.
  • Do an account review twice a month for charges over 45 days
  • Send out reminder letters and final notice letters for clients with an unpaid balance
  • Send clients to collections if no payment has been made in 4 or more months
  • Send out payment waiver agreements to clients whose insurance has lapsed

Requirements

Individual must be non-judgmental in regards to lifestyle, race and/or economic status of clients.

Must be 21 years old and have a valid Minnesota Drivers License.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Skilled Nursing Services & Residential Care

SALARY

$48k-65k (estimate)

POST DATE

06/19/2022

EXPIRATION DATE

03/12/2024

WEBSITE

northhomesinc.org

HEADQUARTERS

BEMIDJI, MN

SIZE

100 - 200

FOUNDED

2018

CEO

JIM CHRISTMAS

REVENUE

$10M - $50M

INDUSTRY

Skilled Nursing Services & Residential Care

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The job skills required for Billing Specialist include Billing, Accounts Receivable, Problem Solving, Billing Systems, HIPAA, Mental Health, etc. Having related job skills and expertise will give you an advantage when applying to be a Billing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Billing Specialist. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Billing Specialist positions, which can be used as a reference in future career path planning. As a Billing Specialist, it can be promoted into senior positions as a Billing Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Billing Specialist. You can explore the career advancement for a Billing Specialist below and select your interested title to get hiring information.

If you are interested in becoming a Billing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Billing Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Billing Specialist job description and responsibilities

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billing specialists, which are also known as billing clerks, handle the payments and processing for doctors and patients.

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A billing specialist will need to learn quickly and pick up whatever new skills are necessary.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Billing Specialist jobs

Find relevant Billing Specialist jobs, and apply.

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Communicate as efficiently as possible.

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Make checklists and to-do lists.

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Teach calendar and time management skills.

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Look for Training and Learning Opportunities.

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Step 3: View the best colleges and universities for Billing Specialist.

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