Billing Records Technician

Senior Resources of West Michigan•Norton Shores, MI

3d•$20 - $24

About The Position

This position is responsible for assisting with monitoring and processing internal Vendor View messages utilizing Vendor View Message, ICOS, appropriate procedure grids and marking messages as read. Reviews and enters participant program data, status changes, care setting changes and other pertinent participant information into Compass Case File and Status. Reviews and Enter service schedule requests from the ICOS into the Compass Service Schedule and create the appropriate service definition lines (SDL) and service events (SE) for Billing. This position is responsible for posting, reviewing, and approving assigned Purchase of Service provider billings into the web-based COMPASS Billing system under the appropriate fund codes for all Senior Resources’ programs ensuring all source documentation is stored and maintained in accordance with funder requirements. This position also completes the monthly posting and review of Supports Coordination services for MI Choice Waiver participants and the monthly posting of RN services and submission of claims and encounters for participants of the Targeted Care Management (TCM) Program & Waiver Programs in accordance with MI Choice contract requirements and ACLS Operating Standards

Requirements

To perform this job successfully an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Testing for tuberculosis upon hire and annual review of symptoms thereafter.
Must pass all background checks.
Requires a high school education or GED and one year of accounting and/or medical billing experience.

Responsibilities

Assist Contracted Services Contracts Manager with Provider insurance and license tracking.
Compiles a monthly spreadsheet with processed billing totals verifying monthly billing for each provider.
Responsible for processing all Residential Services monthly billings and primary backup to Claims Specialist for staffing coverage utilizing a checks and balance procedure to ensure all processed billings are received by Finance for payment.
Processes Project Lifesaver billings and routes appropriate paperwork to Finance.
Back up coverage for processing MI Choice Waiver disenrollment forms in coordination with Client Records Technician resolving any discrepancies with Supports Coordinator, and WA Supervisors.
Back up coverage for posting, reviewing, verifying and approving assigned Purchase of Service provider billings in web-based Compass Billing system comparing provider billings against service authorizations.
Approval process includes verifying days of service, units billed, rates billed, and verifying authorization details match ICOS when applicable
Update provider Insurance tracking spreadsheet
Update provider licensing spreadsheet by going on LARA to get updated expiration dates and look for any license suspensions or updates
Attends regularly scheduled team meetings and communicates with Supports Coordinators and Supervisors on issues pertaining to coding changes or problem areas on an as needed basis.
Other duties as assigned.