Billing Coordinator - CHRIS 180
Atlanta, GA 30316
About the Job
Position Description
The ideal candidate must be proficient with clinical documentation and with insurance description. Must be a quick starter, hard worker, learns and execute tasks effectively. Must be able to work independently yet be a member of a team. This position requires attention to detail and the ability to handle repetitive functions is required. Prolonged hours will be spent at computer and telephone.
Role and Responsibilities
The primary duties include but are not limited to the following:
- ICD-10, and CPT coding
- EOB posting, interpretation, and descriptions
- Appeal and corrected claim filing
- A/R follow-up for various commercial and government insurance carriers
- Batching of claims & claims submission
- Auditing patient accounts
- Insurance verification & insurance benefits
- Handling correspondence letters from commercial insurance
- Payment plan arrangements
- Other office related tasks as assigned by Billing Manager
- Organizational skills, excellent attention to detail and the ability to perform multiple tasks successfully
- An understanding of the concepts of required clinical documentation.
- Can navigate GAMMIS, Availity, RevConnect and complete insurance verification and activity status
- Complete MyEvolv data entry regarding change in program status, payers, POE entry.
- Complete out-patient treatment requests via ProviderConnect and in GAMMIS, following insurance requirements
- Follow-up with clinical requests for documentation with Chris Counseling Staff to submit authorization requests
- Submit service requests to specific insurance companies through GAMMIS, Provider Connect, CMO Portal
- Interface with insurance companies regarding denials, rejections, pending authorizations, and partial approvals
- Provide updates to staff related to authorization status and insurance changes
- Utilize the message board to add information about authorization status and need clinical documentations
- Complete Discharges on a weekly basis
- Complete discharge chart audit, follow-up with staff for missing documentation in charts
- Complete discharge request forms to insurance providers
- Assist with audit preparation
- Scan and upload documentation for individuals in their electronic health records related to authorizations
- Keep a weekly tracking system for discharges, authorizations, and documentation due and update department on status
- Know about the DBHDD guidelines and CMO guidelines and provide this information to staff as related to authorizations requirements
- Maintain detailed files, documentation, and billing requirements in a timely manner in accordance with CHRIS 180 policy and compliance standards
- Attend and participate in all meetings and supervision as required and in accordance with CHRIS 180 policy and procedures
- Adhere to CHRIS 180 Code of Conduct, Code of Ethics, and GA Code
- Maintain consumers’ confidentiality
- Support and maintain an environment of emotional and physical safety for consumers, staff and other stakeholders always
- Demonstrate exceptional customer service
- Maintain certifications/trainings and provide information to HR and Training in a timely manner
- Be able to provide referrals to clients and triage calls to meet client needs
- Maintain any necessary filing, scanning, and uploading at the front desk
Qualifications/Competencies
- Bachelor’s degree required and a minimum of 3 years’ experience preferably in the counseling field with an understanding of the billing documentation necessary for authorizations and billing
- Netsmart MyEvolv experience is highly preferred but not required
- Organizational skills, excellent attention to detail and the ability to perform multiple tasks successfully is essential
- Ability to learn and understand new programs quickly
- Ability to work independently as well as part of a team
- Have solid decision-making ability with prioritizing denied claims that need to be resubmitted and manage other tasks related to the Billing department
- Be guided by precedent and established policy and procedure in decision-making. This person will be required to analyze and react to multiple situations at a time
- Dependability, emotional stability and physically capable
- Ability to recognize when assistance and consultation is needed
- Strong communication and interactive skills
- Self-motivated and able to work under demand and deadlines
- Proficient is Microsoft Office
Other
The ideal candidate will possess the following:
- Technical expertise that allows well informed decisions, usage of available tools and resources and training to execute job responsibilities
- Accountable for work being completed accurately and in a timely manner as well as following up as needed
- Ability to collaborate with other staff to ensure best practices and sound decisions
- Ability to communicate using appropriate tone when corresponding verbally or written (as well as proper usage of grammar and spelling)
- Ability to adapt and adjust to course and be open to new ideas
- Ability to manage workload by having a clear understanding of task/project and set realistic timelines and goals
- Commitment to our vision and mission should be demonstrated in work
Benefits we offer:
- Health Insurance
- Dental Insurance
- Vision Insurance
- Short and Long Term Disability
- Basic and Voluntary Life Insurance and AD&D
- Employee Assistance Program
- Flex Spending Account
- Health Savings Account
- 403 (b) plan
- Paid Time Off
Schedule
This is a full-time remote position and typically works Monday – Friday 8:00am – 5:00pm but requires flexibility.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, stand and reach with hands and arms. The employee is occasionally required to lift and/or move up to 20 pounds.