Billing Claims Specialist - 3003
Company: Indian Rivers Behavioral Health
Location: Tuscaloosa
Posted on: May 21, 2023
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Job Description:
Billing Claims SpecialistFinance DepartmentFull-Time:40
hoursMonday-Friday: 8:00am-5:00pm- Tuscaloosa, AL
-Competencies:Excellent verbal, interpersonal and written
communication skills. Must be able to communicate with consumers
and families regarding consumer accounts.Must be able to
effectively communicate with staff, other agencies, third party
payers, etc.Demonstrated competent computer skills. Accurate data
entry skills required.Must be able to organize, prioritize and
manage a variety of tasks.Working knowledge of standard business
practices.Ability to make decisions promptly and
appropriately.Ability to work cooperatively and effectively within
the organization in order to serve the needs of agency
operations.Knowledgeable in cultural diversity.Essential
Functions/Responsibilities:Prepares and submits clean claims to
various companies either electronically or by paper.Posts payments,
adjustments, transfer of responsibility and refunds, as
necessary.Issues adjusted, corrected, and/or rebilled claims to
insurance companies.Denial and insurance follow-up
management.Identifies and resolves client billing
problems.Prepares, reviews, and sends client statements via U.S.
mail.Reviews accounts and makes recommendations to the Controller
regarding non-collectable accounts.Maintain a working knowledge of
third party payers.Participates in educational activities.Answers
questions from clerical staff and insurance companies.Ensure that
all assigned duties are implemented according to IRBHpolicies and
procedures.Ensure all safety, fire prevention, and health measures
are followed while on duty.Interface in a professional manner with
agency staff on an as needed basis to answer billing or insurance
questions or to train or re-train staff as requested by the
managers.Assist in running error listings and following-up on
responses from staff.Assist in maintaining staff billability
files.Answer telephones for AR courteously. Handle calls and
respond to messages in a timely manner.Perform clerical duties,
including, filing, faxing, and copying according to standard
business practices and in a timely manner.Work independently and/or
with teams to complete assigned tasks accurately and in a timely
manner with minimum supervision.Attend all staff meetings as
scheduled.Perform job duties independently and practice efficient
time management.Maintain communication and awareness of current
Organization events by reading memos, emails, bulletin boards, and
communication logs.Support Organizational Code of Conduct,
Standards Compliance, HIPAA and Security Programs by ensuring job
tasks are performed in a legal and ethical manner, assessing the
work area for non-compliance and notifying the supervisor, manager,
Executive Director or designee as appropriate, and maintaining
training requirements and understanding that training is a required
condition of employment.Maintain the confidential nature of all
consumer and Organization related activities by not divulging
information outside the facility, discussing information within the
facility on a need-to-know basis, acknowledging policy annually by
signing confidentiality statement, and by referring media and
general inquiries to the Executive Director.Adhere to attendance
and punctuality policy by allowing adequate time to arrive,
clock-in and assume responsibilities at designated time, adhering
to meal and break times and making timely requests for annual leave
and reporting the need for sick leave in accordance with
policy.Demonstrate the skills necessary to keep the business
operations of Indian Rivers on task and up-to-date.Devote 40 hours
per week to the completion of duties as outlined in the job
description. More than 40 hours of work per week may be required to
meet job responsibilities and deadlines.Comply with all standards
related to safety and health by maintaining current TB Test,
CPR/First Aid, CPI, and by reporting infections and on-the-job
injuries in accordance with policy.Identify opportunities for
improving the quality of services provided by the department and
the organization.All other job duties and responsibilities as
requested by the supervisor or Executive Director.Minimum
Qualifications:HighSchoolDiploma or equivalentrequiredBachelor's or
Associate's degree preferredMust be able to read, write legibly,
speak, and comprehend English.Current Alabama driver's license and
good driving record as defined by Indian Rivers' policy.Working
Conditions, HIPAA, Other Guidelines:Job Specifications: To perform
this job successfully, an individual must be able to perform each
primary duty satisfactorily. The requirements listed below are
representative of the knowledge, skill, and/or ability required.
Reasonable accommodations maybe made to enable individuals with
disabilities, who are otherwise qualified to perform the essential
functions.HIPAA: Must be knowledgeable of and abide by HIPAA
regulations regarding protected health information as defined by
HIPAA and IRBH. Minimally accesses verbal, written, and /or
electronic PHI, usually incidentally to an approved use and /or
disclosure as pertains to consumer's financial, demographic, and/or
clinical data.Working Conditions: Works in general office
environment and in residential facilities; may require long hours.
Must have the use of sensory skills in order to effectively
communicate and interact with other employees and the public
through the use of the telephone and personal contact. Physical
capability to effectively use and operate various items of office
related equipment, such as, but not limited to, computer, copier,
multi-line phone and fax machine. Some risk involved in the event
of aggressive/out-of-control consumers.Must possess a valid Alabama
driver's license.Physical Requirements: The Physical Requirements
described herein are representative of those which must be met by
an employee to successfully perform the primary functions of this
job. Reasonable accommodations maybe made to enable individuals
with disabilities, who are otherwise qualified, to perform primary
functions.Physical presence onsite is essential. Hearing and vision
must be normal or corrected to within normal range. Able to perform
the duties with or without reasonable accommodation.Full-Time
Employee Benefits:Blue Cross Blue Shield Medical InsuranceEmployees
Retirement System of AlabamaPrescription Drug CoverageMileage
ReimbursementPaid Time OffVoluntary Dental, Vision, and Life
InsuranceIndian Rivers is an Equal Opportunity EmployerThis
Employer participates in E-Verify
Keywords: Indian Rivers Behavioral Health, Tuscaloosa , Billing Claims Specialist - 3003, Accounting, Auditing , Tuscaloosa, Alabama
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