What are the responsibilities and job description for the Residential Billing Liaison position at Main Street Direct?
Description
Schedule
Full-Time: Monday-Friday 8am-4:30pm
Summary
The Residential Billing Liaison is the primary support to the residential and billing departments for THRIVE in coordinating with insurance companies and other forms of client payments. This role serves as the liaison between the residential programs, billing department, and insurance agencies to help ensure that THRIVE receives funding and payment for services.
Essential Duties And Responsibilities
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION And/or EXPERIENCE
Required: High school diploma or general education degree (GED)
Preferred: degree in relative field; work experience that would demonstrate ability to work comfortably and effectively with insurance carriers and a billing system; knowledge of billing and clerical procedures and systems such as Word and Excel, managing files and records and other office procedures and terminology.
CERTIFICATES, LICENSES, REGISTRATIONS
Must maintain valid driver’s license and acceptable driving record.
Schedule
Full-Time: Monday-Friday 8am-4:30pm
Summary
The Residential Billing Liaison is the primary support to the residential and billing departments for THRIVE in coordinating with insurance companies and other forms of client payments. This role serves as the liaison between the residential programs, billing department, and insurance agencies to help ensure that THRIVE receives funding and payment for services.
Essential Duties And Responsibilities
- Responsible for collecting and verifying all insurance for each potential OASAS residential admission during the pre-admission process and as needed moving forward. Ensure insurance related information is input into the EHR accurately.
- Monitor/maintain insurance authorizations/concurrent review request for all residential programs. Provide support to the residential programs in the completion of these authorizations and reviews. Communicate with OMH programs regarding upcoming reauthorizations for clients.
- Disenroll clients from Managed Care (as appropriate per location) and coordinate with clients’ home counties (as needed) to notify of admissions and discharges related to insurance requirements.
- Coordinate with Residential Case Managers to ensure active and up to date DSS/SNAP applications.
- Coordinate with assigned staff at each program to collect relevant information to provide to insurance companies for all admissions, concurrent, reviews, and discharges. Coordinate with staff and the billing department to obtain appropriate information to appeal insurance denials.
- Maintain timely and thorough records of insurance contacts and documents received from insurance providers as well as maintain records or data of clients’ insurance and reviews to be available to supervisor or site manager upon request.
- Follow and report status of delinquent accounts to supervisor and print bills/invoices for clients on a monthly basis. Enforce consistent billing and collection policy. Communicate with supervisor if client obtains large balance and maintain list for supervisor as needed for clients that have a balance.
- Maintain strictest confidentiality: adhere to all agency policies regarding confidentiality.
- Participate in supervision at least monthly; utilize supervision to identify and report issues; and recommendations for improvement.
- May assist with other administrative duties as assigned, such as answering phones and providing front desk coverage in building lobbies.
- Performs other duties as assigned or that may develop.
- Management has the right to add or change the duties of this position at any time.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION And/or EXPERIENCE
Required: High school diploma or general education degree (GED)
Preferred: degree in relative field; work experience that would demonstrate ability to work comfortably and effectively with insurance carriers and a billing system; knowledge of billing and clerical procedures and systems such as Word and Excel, managing files and records and other office procedures and terminology.
CERTIFICATES, LICENSES, REGISTRATIONS
Must maintain valid driver’s license and acceptable driving record.
