Claims & Billing Specialist

Agency Name: Rehmann

Agency Contact: Val Martinez

• Position Type: Full Time
• Job Type: Permanent
• County: All Counties - Entire State
• Salary Range: Based on experience per Hour
• Send applications to: https://www.rehmann.com/careers?p=job/oW4lkfwp/apply&__jvst=Job+Board&__jvsd=CMHA&nl=1
• Please include your resume when applying.

General Summary:

We are currently seeking a high performing Claims and Billing Specialist to be part of our team providing billing and claims adjudication services to our CMH, PIHP, and Behavioral Health provider clients.

Essential Functions:

* Maintain knowledge and familiarity with billing procedures and requirements of all funding agencies and payer
* Work with program staff to collect data necessary for accurate preparation of invoices, requests for payment, back- up documentation and reports
* Submit invoices, reports and required documentation in electronic or paper formats on a timely basis
* Utilize and manage electronic billing systems (such as MH-WIN) for payment of services
* Post and reconcile payments for services
* Track and follow up on rejected or past due requests for payment
* Assist Senior Accountant with certain monthly accounting tasks (Credit card reconciliation, Pay Pal processing, etc.)
* Communicate and work effectively with representatives and corresponding staff at funding agencies to facilitate prompt payment
* Maintain records and documentation for financial program audits
* Adhere to all established internal control and accounting policy and procedures
* Promptly inform management of discrepancies or errors
* Maintain integrity and confidentiality of client records and personal health information
* Help to coordinate billing of client’s private medical insurances.
* Other tasks as assigned

Requirements:

* Associates degree in Health Care Administration, Accounting, Business, Health Information Technology or related field
* Certification as a biller or coder preferred
* Advanced computer skills including Microsoft Word, Excel, and database management
* Knowledge of Medicaid, Medicare and Commercial Insurance
* Skills and experience in analyzing information and preparing spreadsheets and reports
* Ability to work with confidential information with the highest level of integrity
* Willingness to take on additional projects as needed
* 2+ years of mental health billing experience or equivalent years of medical billing
* Prior experience in accounts receivable or general booking. Non-profit experience a plus
* Good written and verbal communication skills
* Attention to detail and thoroughness
* The role is best suited for a team player who is action-oriented and has good analytical problem-solving skills
* Valid driver’s license, clean driving record, reliable transportation, and automobile insurance meeting agency requirements
* Must be able to successfully complete agency’s background check process
* Ability to successfully work in a remote environment including promoting a sense of teamwork and collaboration for a team that also works remotely