Billing Specialist EMPACT

Job Description

Job Description

Who we are:

EMPACT- Suicide Prevention Center, part of the La Frontera family, is an industry leading non-profit organization dedicated to providing valued community services and resources for behavioral health counseling, crisis intervention, and suicide prevention since 1987. We are an EEO/AA Employer.

What you’ll do:

Join our hard-working team in processing Behavioral Health Claims. Working from home, the Billing Specialist will assure the timely, accurate, and efficient processing, posting and rebilling of agency claims from service to payment.

Essential Responsibilities:

• Review and post all RBHA and Non-RBHA progress notes according to contracts as appropriate.
• Provide timely and accurate reports and information as directed by the Finance Manager or Director of Finance.
• Submit all RBHA and Non-RBHA claims according to contracts, either electronically or on paper
  as required. Continue to transition all billing from paper to electronic as appropriate.
• Review EOB’s and research each denied claim and re-bill accordingly
• Receive and process all clients authorizations, co-payments and payments received.
• Complete month end reports for financial close both timely and accurately
• Create and mail statements within 72 working hours of appointment or receipt of EOB for Non
  RBHA clients who have a balance due.
• Review errors found when posting progress notes and email staff/supervisors as necessary.
• Review RBHA client Eligibility Errors and request inserts or enrollments as appropriate.
• Identify any issues with ClaimTrak and discuss with Claims Manager immediately.

Additional Duties and Responsibilities:

• Demonstrated ability to remain calm in crisis situations, work independently and cooperatively, recognize personal limitations, and relate positively and with empathy to all persons regardless of age, race, creed, gender or sexual orientation.
• Maintain professional conduct consistent with ethical professional practice and the policies and procedures of the agency.
• Maintain a professional demeanor and positive working relationships with internal and external team members, stakeholders, and community and business partners.
• If driving while on agency time or on agency business, a valid Arizona driver license and appropriate liability insurance and approval for liability coverage with EMPACT - SPC’s liability insurance carrier is required.
• Attend meetings, training, and agency activities and events outside of regularly scheduled work hours upon request.
• Maintain compliance with required training.
• Additional duties as assigned by supervisor or member of management.

What you’ll provide:

• High School diploma/GED required.
• 1 year of experience in a hospital, clinic, or medical office setting working with AHCCCS, HMOs, other third-party payors, and self-pay using a centralized computer-based billing system..
• Customer Service focus with exceptional verbal and written communication skills.
• Ability to handle sensitive and confidential information with a high degree of professionalism.
• High proficiency in Excel.
• Billing/Claims Experience
• Strong attention to detail.
• Demonstrated ability to work in fast paced environment with minimal supervision.
• Ability to effectively work in a team, helping to accomplish team goals.
• Must have a Fingerprint Clearance Card or be able to obtain one.

What we’ll offer:

(Full-time employees)

• Generous PTO
• 10 paid holidays per year
• Medical plans (4 choices)
• Dental plans (2 choices)
• Vision plans (2 choices)
• 403(b) retirement plan
• Retirement Allowance
• Company paid Life/AD&D and Long-term Disability
• Voluntary additional Life and Short-term Disability
• Tuition Reimbursement
• Elder Care assistance
• Pet Insurance and much more!

EMPACT-SPC is licensed by the Arizona Department of Health Services, and accredited by the American association of Suicidology (AAS) and The Commission on Accreditation of Rehabilitation Facilities (CARF).

EMPACT-SPC/La Frontera Arizona provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

All employees of EMPACT-SPC and La Frontera Arizona are employees "at will" as that term is understood in the State of Arizona. This means that employment may be terminated at any time without prior notice and for no stated reason.

EMPACT-SPC/La Frontera Arizona reserves the right to modify position descriptions as needed and without notice. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.