Program Associate II – Medical Billing FT/PT

<strong>HELP PEOPLE BUILD WELL-BEING</strong><br />Share your knowledge, expertise, and talent to help people build well-being through safety and comfort of home. You will be encouraged to show up authentically and work for the whole client to leverage their strengths with our network of extensive resources.

Edina, MN 55439, USA

Volunteers of America Minnesota and Wisconsin

<p><strong>We provide essential community-based health and human services that impact the lives of 25,000 people across the lifespan every year in 110 neighborhoods in both states. For 125 years, our work has focused on closing gaps between people and possibility, addressing a spectrum of intersecting needs&mdash;from housing to health to education to employment.<br /><br /><a href="" target="_blank" rel="noopener noreferrer">Our Response to COVID-19</a>&nbsp;<br /><a href="" target="_blank" rel="noopener noreferrer">Our Commitment to Racial Justice</a> <br /></strong></p>

keywords: position summary,self pay collections,billing,education,experience


Overview: <p><strong>Full-Time and Part-Time positions available!</strong></p> <p><strong>Primary Duty:</strong></p> <p>The responsibilities of this position are working within the Electronic Health Record system to submit claims to payer sources, send statements to clients and to reconcile/resolve patient accounts.&nbsp; Staff will consistently exhibit behavior and communication skills that demonstrate commitment to excellent customer service, including quality, integrity, passion, and commitment with every internal and external customer.&nbsp; Experience with Credible software preferred.</p>
Responsibilities: <p>Self pay collections:</p> <ul> <li>Sorting and mailing client balance statements</li> <li>Processing patient payments and refunds.</li> <li>Answering patients&rsquo; questions regarding unsettled bills, reimbursements, and billing discrepancies.</li> <li>Contacting patients through email, written correspondence, or telephone to inform them of overdue balances.</li> <li>Creating suitable payment plans for patients based on their monthly income and financial obligations.</li> <li>Forwarding of delinquent accounts to supervisor for possible referral to collection agency.</li> </ul> <p>Billing:</p> <ul> <li>Verifying patients&rsquo; insurance coverage/eligibility</li> <li>Interpreting patients&rsquo; insurance benefits to check for coverage/noncoverage of services, deductibles, copays, coinsurance and individual and family out of pocket maximums</li> <li>Generating, reviewing, updating and submitting batches of claims in billing software to claims clearinghouse</li> <li>Reviewing billing information including CPT coding, ICD10 diagnosis coding, modifier appendage, authorizations required</li> <li>Handling billing rejection notices from clearinghouse and making appropriate corrections</li> <li>Reviewing and appealing denied, unpaid or short paid claims</li> <li>Maintain accounts receivable aging reports with comments on follow up steps taken/necessary</li> <li>Completing write off forms for uncollectable charges</li> <li>Requesting information/clarification from clinical staff when necessary</li> <li>Maintenance of logins for numerous insurance websites for accounts receivable follow up activities</li> <li>Posting payments in billing system to client accounts including handling payment retractions</li> <li>Saving attachments to clients&rsquo; accounts</li> <li>Adding prior authorization data to client accounts</li> <li>Downloading explanations of benefits/remittance advice from payer websites</li> <li>Actively participate in and positively contribute to aging meetings with other staff.</li> </ul>
Requirements: <strong>Education</strong><br /><strong>Required</strong><br /> <ul> <li>High School or better.</li> </ul> <br /><strong>Experience</strong><br /><strong>Required</strong><br /> <ul> <li>2 years: Mental Health billing</li> </ul>