UM Specialist (Full-Time and/or Part-Time)

Freedom House Recovery Center

Description

Freedom House Recovery Center is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  

Billing Specialist will manage incoming and outgoing payments for health care treatment. This role will handle the administrative responsibilities of billing insurance and processing payments. Responsible for communicating findings to agency personnel regarding billing deficiencies and outstanding balances. Billing Specialist will investigate system errors and pursue information about denied claims to collect payment with specified time limits.

Collects all billing information from FH programs and oversees the collection.

Responsible for posting client copays to accounts in EMR.

Responsible for manual claims entry and manually posting checks as needed in EMR.

Submits all billing in a proper format on a regularly scheduled basis to funding sources.

Ensures that all billing is submitted within the required timeline. Provides appropriate follow up with staff regarding any reported issues with billing submission.

Reviewing and appealing denied and unpaid claims (i.e., working denials).

Seeks ways to determine if there are billing problems, communicates the problems to the appropriate staff, is proactive in finding ways to fix any billing problems, and ensures we have exhausted all avenues of funding.

Collaborates with other departments to resolve claims, member or provider issues that adversely affect payment.

Responds to billing questions when necessary.

Proactive in assisting with error resolution and denial management.

Maintains required billing reports, records and files.

Seeks out knowledge of funding sources and billing procedures used throughout the agency.

Maintains knowledge of billing software updates/changes as they occur.

Other tasks and projects as requested / assigned by supervisor.

Full-Time and/or Part-Time  

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