Billing and Client Access Manager

Upstate Caring Partners•City of Rome, NY

1d•$62,354 - $72,800•Hybrid

About The Position

Upstate Caring Partners’ Certified Community Behavioral Health Clinic – Community Health and Behavioral Services is seeking a skilled Billing and Client Access Manager. The Billing and Client Access Manager will be responsible for ensuring that the responsibilities of the Client Access Representative’s (CAR’s) and Medical Billing and Coding Specialists are carried out. This position is responsible for overseeing the process of clients accessing CHBS services to promote rapid access and reduce barriers to scheduling. This position serves as a key member of the CHBS interdisciplinary team and supports the facilitation of communication between clients and their care team, to include nurses, medical, clinical providers, and billing. This position oversees the processing of referrals, intakes, client registration, answering phones, scheduling, data entry/registration and overseeing processes of the billing and coding specialists. This position works with internal and external sources to coordinate access to care and resolving billing issues.

Requirements

Associate Degree preferred in a related field of medical management or 3-5 year related experience.
Previous supervisory experience preferred.
Must possess an interest and knowledge base in the provision of mental health services.
Must possess the ability to make independent decisions when circumstances are warranted.
Position requires excellent written and verbal skills.
Must have good personnel and customer service skills.
Basic Computer Skills (Windows, Outlook, Adobe Acrobat, Word, Excel).
Travel is required between clinic locations and community based settings.
Must have a valid NYS Driver’s License.

Responsibilities

Supervises the Medical Billing Coding Specialists and CAR’s team to maintain up to date information of participating providers by payor and maintains open communication with scheduling and clinical leadership about provider ability to see clients based on credentials and payor type.
Acts a liaison with the billing department for all registration, prior authorization and insurance eligibility issues. Assists in promoting processes that ensure “clean claims” and reduce errors in revenue cycle.
Manage and oversee the daily activities of assigned teams; train, coach, mentor and develop staff to promote accountability for assigned duties.
Oversee the intake/referral process for all CHBS locations to ensure timely access to services and communication with referring entities.
Monitor daily, weekly and monthly deliverables assigned of assigned teams.
Remain aware of regulatory requirements and ensure best practices are followed.
Ensure front office staff are scheduling appointments with appropriate provider making sure provider has appropriate credentials for patient’s insurance.
Using data and reporting, monitor daily, weekly, and monthly registration requirements and other data collection assignments. Follow through with appropriate staff on missing information or errors. Hold team accountable for accuracy to promote data integrity.
Maintain an efficient office routine and documentation flow between assigned teams and clinic/services.
Maintain timely and effective internal and external practice communication and problem resolution to ensure smooth and efficient operations.
Assist and facilitate open access and crisis walk-ins/calls in conjunction with clinical and medical team.
Administer established guidelines for prioritizing work activities, evaluating effectiveness, and modifying activities as necessary.
Maintain accurate records and files pertaining to staff schedules; to include maintaining personnel records, managing timecards.
Assist in coordinating clinician and medical provider schedules to maximize productivity.
Prepare and submit reports as needed.
Manage employee issues and resolves grievances.
Interview, hire, and orient new staff and utilizing all support tools provided by organization.
Facilitate assigned teams monthly meetings to maintain effective facilitation of information to the team. Provide updated information, policy procedures as necessary.
Act as an inter- and intra-agency liaison for the program or department; promote positive communications.
Generate and maintain department or program specific reports, databases, charts and records as directed.
Participate in special projects as appropriate.
May be required to work flexible hours, including occasional evenings and weekends, to meet the needs of the clinic and the clients.
Any additional duties assigned as necessary.