Billing Manager

Company: Family and Community Services Inc
Location: Warren
Posted on: June 25, 2022

Job Description:

Full Time (40 hours/week)

Monday - Friday

No Nights, Weekends

Salary: Negotiable

POSITION TITLE: Billing Manager

DEPARTMENT/PROGRAM: Counseling Programs

REPORTS TO: Executive Director of Behavioral Health

SCHEDULE: Full-time

GENERAL STATEMENT OF DUTIES: Manages all agency billing and collection-related functions, to ensure that they are completed efficiently, timely, and in compliance with all agency, local and state guidelines. Responsible for establishing, documenting, implementing, and monitoring agency billing and collection policies and procedures. Direct supervision of Billing Department.

ESSENTIAL RESPONSIBILITIES:

1. Oversee the maintenance of Carelogic as the System Administrator.

2. Responsible for the hiring and training of Billing Department staff.

3. Assign tasks and supervise activities of all billing department clerical staff.

4. Coordinate end-of-month billing procedures.

5. Keep up to date of Ohio Medicaid rules, policies of Managed Care Organizations, the Mental Health Boards as well as changes in submission rules for various payers.

6. Oversee preparation of regular monthly, quarterly, and annual reports for management and clinical use.

7. Maintain staff access/security passwords to the Carelogic system.

8. Researching and fixing billing errors and claim denials

9. Payer setup, fee matrices, procedure codes, modifiers, programs, groups, activities. Service document creation and crosswalk. Claim rollup rules, menu management. New employee setup including schedule, location and credentials.

10. DrFirst enrollment. Enrolling new staff in DrFirst, ordering new and replacement tokens, activating providers for EPCS. Manage provider agents. Qualifacts tickets.

11. Complies with agency policies and procedures, COA regulations, federal and state requirements, and educational/certification/registry requirements.

12. All other duties as assigned.

QUALIFICATIONS:

1. Extensive knowledge of behavioral health care billing procedures.

2. Knowledge of Carelogic, Qualifacts and DrFirst

3. The position requires a valid driver's license, reliable transportation, and adequate levels of insurance and/or insurability.

4. Must be able to meet agency requirements for criminal background check.

MINIMUM EDUCATIONAL/LICENSURE REQUIREMENTS: Bachelor's Degree preferred. Certified Billing and Coder Credentials preferred.

MINIMUM EXPERIENCE REQUIREMENTS: 3-5 years experience required:

--- Carelogic, Qualifacts and DrFirst.

--- All billing/AR for commercial insurance, medicare, Medicaid, county boards, diversion, self pay, some parts of contract billings.

--- Billing through clearinghouses for Commercial, Medicaid, Medicare, School and County.

--- Secondary billing for Medicare and Commercial

--- Self-pay billing

--- Sending electronic files through Medicaid.

--- Knowledge of billing for Ohio Rise.

--- Process failed activities, failed claims, claim approval, claim batches, EDI submissions, retrieve and post Remittance Advices, post EOB's, denials, update and maintain client payer info, create client statements.

PI182605792

Keywords: Family and Community Services Inc, Warren , Billing Manager, Executive , Warren, Ohio