Georgia Employer BILLING SPECIALIST in Americus, Georgia
Description of Duties: Assist front office staff at the outpatient clinic as needed. Verify payers daily, maintain client responsibility and update financial applications yearly. Perform routine data entry and process intakes. Maintain client consents appropriately and timely. Process all billing on GAMMIS, Provider Connects, Availity, Peach State, and Change Healthcare, and etc. Process LogistiCare billing and assist with the Family Support billing and the State Funded billing. Thoroughly research billing issues and claims to resolve any issues. Monitor the accrual report of unbilled/unpaid claims, research and resolve the unbilled/unpaid claims. Process failed claims and failed activities weekly. Research claims to find solutions to billing issues. Notify staff of failed claims and failed activities weekly, then assist staff as needed. Monitor service authorizations daily and do a Connects Authorization if needed. Notify staff of authorizations due. Review and Process CMO request daily. Notify staff of any denied request. Perform Connects UM review daily and accurately and process all files appropriately and timely. Communication all system and billing issues to the supervisor timely. Perform system administration functions (i.e., responding to system issues, providing structure to other employees in the organization, production of forms in the EHR.) Train staff as needed (i.e., CareLogic training, Authorization training, onsite training). Maintain and compile the Behavioral Health Link Reports, GCAL, and KPI reports. Scan and upload documents to the client\'s ECR. Answer calls, take messages, make copies, fax, and read & send emails as needed. Sort and distribute mail and faxes. Performs other duties as assigned. May have to travel to other sites and assist at sites when needed. Qualifications: High School diploma or GED AND Ability to perform basic office functions and computer related duties. Demonstrate knowledge of the medical revenue cycle. Proficient in the use of various software applications, experience with various payment collection systems (i.e., credit card, debit card, checks), valid unrestricted Georgia Driver\'s license.Agency is an eligible work site for the Public Service Loan Forgiveness Program.Minimum Entry Salary *: Negotiable Based on ExperienceLocation: Americus, GAServices Area/Programs: Revenue Cycle ManagementMiddle Flint Health & Wellness services the following 11 counties: Webster, Marion, Sumter, Schley, Taylor, Crisp, Dooly, Macon, Houston, Peach and Crawford.Middle Flint Health & Wellness is a Drug Free Workplace. Current Middle Flint applications should be filled out carefully and completely. Describe background in full and make certain application is signed. Incomplete applications or applications with insufficient information can result in an applicant not being considered for the vacancy. Please KEEP a copy of your application. All applications must be received (not postmarked) by the above specified deadline. Finger- printing and/or Drug Screening may be required, if appointed. Any male applicant between 18 and 26 years of age must present proof of having registered with the Selective Service as required by federal and state law, or of being exempt from such registration. An Equal Opportunity EmployerMiddle Flint Health & Wellness does not discriminate on the basis of disability in the admission or access to, or treatment or employment in, its programs and activities. An applicant who has a disability which requires special accommodations should contact this office.* ENTRY SALARY may be adjusted depending upon the selected candidate\'s qualifications and agency budget considerations.