Job Description:

Essential Job Functions:

• Assures coding is compliant with billing and coding guidelines and according to contract.
• Manual entry of charges in electronic health record, database, and/or whichever platform is being utilized to perform charge entry.
• Submission of insurance claims to the Department of Mental Health or individual insurance companies electronically, by paper and/or manually, and according to filing timelines
• Follows up with payers on unpaid, denied, or rejected claims and resolves issues and resubmits or appeals claims
• Utilizes insurance websites, provider portals, send secure messages and make phone calls when applicable
• Notifies leadership of any unusual activity, potential write-offs, potential trends in aging, late billings, etc
• Prepares charge invoices for non-insurance payers and uploads to system
• Posts all cash receipts for services billed
• Prepares supporting documentation for Aging reports monthly
• Generates statements for mailing monthly, generates cycle of letters to encourage timely payment
• Ensures data entry of monthly revenue/account receivable amounts prior to month end close
• Reduces aging monthly
• Document procedure/processes
• Demonstrates interest in long term and short term goals and objectives of the company
• Other duties as assigned by leadership

Knowledge, Skills, and Abilities:

• Strong spreadsheet skills
• Knowledge of finance, accounting, and cost control principles.
• Basic understanding of financial and accounting software applications.
• Experience or knowledge of insurance billing/collection practices
• Strong communication and customer service skills
• Detail-oriented, ability to prioritize work and handle competing dead-lines
• Ability to analyze financial data and prepare financial reports, statements, and projections
• Capable of scrutinizing information and evaluating results to choose the best solution and solve problems
• Ability to work with information in a confidential manner
• Ability to work both independently and as part of a team
• Positive, friendly and approachable disposition

Experience and Education Qualifications:

• Graduate from an accredited school with a degree in Business, Finance or Accounting; OR
• At least three (3) years experience in a similar position/work AND
• At least one (1) year experience with a computerized accounting system.

Supervisory Requirements:

• None

Employment Requirements:

• Successful completion of background check including criminal record, driving record and abuse/neglect.
• Completion of New Hire Orientation at the beginning of employment.
• All training requirements including Relias Learning at the beginning of employment and annually thereafter.

Physical Requirements:

ADA Consideration - Sedentary work: Exerting up to 10 pounds of force occasionally (exists up the 1/3 of the time) and/or a negligible amount of force frequently (exists 1/3 to 2/3 of the time) to lift, carry, push, or pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

We are an Equal Opportunity and Affirmative Action Employer, and encourage applications from all qualified individuals without regard to race, color, religion, sex, gender identity, gender expression, sexual orientation, national origin, age, marital status, disability or veteran status, or to other non-work related factors.

Preferred Family Healthcare is a Smoke and Tobacco Free Workplace.