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Billing Specialist

Company: Options Counseling and Family Services
Location: Eugene
Posted on: May 18, 2019

Job Description:

General Description: The primary responsibilities of the Billing Specialist is the weekly billing of Oregon Health Plan and private insurance claims. This may include researching failed claims and denials, entering data into various accounting systems, and verifying eligibility and insurance authorizations. Required Qualifications: Minimum of a high school education and one year of billing experience and/or equivalent combination of education and experience is required for this position. Requires strong computer skills including proficiency with Excel and Word. Preferred Qualifications: Experience with an electronic medical record. Experience in mental health and/or healthcare billing. Essential Duties and Responsibilities:

  • Verify eligibility and obtain authorizations for new clients.
  • Obtain re-authorizations and close authorizations when needed.
  • Open new clients by verifying and entering payer information and authorization information in the electronic medical record.
  • Send weekly authorization reports to the Multnomah, Clackamas, and Washington OHP program supervisors.
  • Discharge clients in the electronic medical record and close authorizations when needed.
  • Build claim batches and submit the OHP and DMAP billings electronically.
  • Perform accounts receivable processing in the electronic medical record.
  • Reconcile LaneCare OHP and private insurance remittances.
  • Research payment differences.
  • Correct cash sheets for sliding scale and private pay.
  • Build claim batches for utilization data and submit monthly invoices with case rates for Multnomah ICTS clients.
  • Bill private insurance payers and track deductibles and copays.
  • Reconcile remittances, research payment differences and make corrections on claims from remittances received.
  • Follow up collateral (secondary) authorizations and pending authorizations.
  • Assist Billing Specialist Lead with contract filing.
  • Bill private insurance, track deductibles and copays, and send out weekly notices of delinquent clients.
  • Research and correct failed claims and claim denials in the electronic medical record and PHTech claims system for different payers.
  • Prepare monthly billing statements or invoices for the Child Welfare, TANF, and SOC contracts.
  • Other duties as assigned. Working conditions:
    • Vision sufficient to read billing records and related documentation
    • Extended periods at a work station updating client records, and phone work
    • Requires continual mental concentration and attention to details
    • Extended periods of focus and attention and computer use are frequently required
    • Mobility and dexterity sufficient handle required job related functions and move about the facility
    • Strict deadlines must be met, which may result in frequent stress

Keywords: Options Counseling and Family Services, Eugene , Billing Specialist, Accounting, Auditing , Eugene, Oregon

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