Description

Title: Billing Support Staff

Purpose: Work as a team to ensure the billing is completed efficiently and accurately by; participating in training and acting as a support for Counselors, Community Workers, and Office Staff.

Qualifications:

• Must be 18 years or older
• High School education
• Detail-Oriented/Organizational Skills
• Professional and Friendly with Public
• Understanding of Insurance / Insurance Verification
• Computer Literate
• Enjoy Therapeutic Environment
• Problem solving
• Team player

Department: Office Staff

Supervised by: Billing Lead

Positions supervised: None

Location: Idaho Falls office

Summary of Benefits:

• Medical Insurance paid for by company for full time employees
• Dental Insurance is available
• Vision Insurance is available
• Simple IRA with 3% company match
• Life Insurance options
• Sterling Medical Membership provided for fulltime employees (and family)

Requirements

Job Functions, Responsibilities, and Authority

• Report directly to the Billing Lead
• Communicate daily with the other billing team members via group chat.
• Communicate any questions and concerns with other team members in the group chats, with the Billing Lead and owners
• Assist in problem-solving situations that arise due to EHR, Clearing House, and Insurance Payer issues
• Work through the AR to ensure claims are processing correctly and addressing claims that need to be rebilled
• Obtain a working knowledge of the EHR as it pertains to claims billing and ensuring routing slips and notes match and are appropriate
• Stay updated on the current insurance payers' billing codes and billing rules
• Bill Medicaid, BPA, Health and Welfare, IDJC, private insurance companies and other entities/individuals for services rendered.
• Review remittances; take corrective action as warranted.
• Review benefit coverage, eligibility, program requirements, limitations, and exclusions for clients
• Work directly with Counselors, Community Workers, and Office Staff to ensure accurate billing.
• Assist with billing counselor claims (electronic and paper) including; individual, family, crisis, group therapy, treatment plans, assessments, etc.
• Assist with billing Community Worker claims
• Audit files and claims in EHR for missed or inaccurate billing
• Review counselor’s billed claims in the claim center of the EHR before pushing them through to the clearing house
• Correct and submit claims that are rejected by the clearing house for mistakes
• Review incoming processed claims for accuracy and correction as needed.
• Communicate directly with insurance companies and clients in regards to claims and balances due from clients and/or insurance companies
• Accept and post payments and remittances from clients and insurance companies
• Answer incoming calls for Billing Team and retrieve voicemails throughout the day. Answer questions regarding client balances and insurance processing. Send itemized statements or receipts per request of the client.
• Review client balances and payments to determine payment arrangements or to be referred to Collection Agency
• Assist with answering billing emails daily.
• Any other tasks as assigned.
• Attend meetings as assigned.
• Monitor timely filing deadlines for initial claims, corrected claims, and appeals.
• Identify and escalate recurring denial trends or payer processing issues to the Billing Lead.
• Assist in identifying underpayments or payment discrepancies when reviewing remittances.
• Maintain compliance with HIPAA and confidentiality standards when handling client and payer information.
• Ensure accurate application of contractual adjustments and write-offs as directed.
• Document claim follow-up activity within the EHR or designated tracking systems.
• Maintain organized records of billing communications and payer correspondence.

Wage: $16-$20/hr DOE

**This is a full-time, in office position.**