Billing Specialist

Archdiocese of St. Louis•St. Louis, MO

About The Position

Since its founding in 1985, Queen of Peace Center (QOPC) has been providing family-centered behavioral healthcare for women, children, and families. As a member of the Federation of Catholic Charities, we serve the metropolitan and surrounding St. Louis area through four core programs: prevention, education, treatment, and housing. Position DescriptionResponsible for accurate medical billing and payment posting of behavioral health claims for the Missouri Department of Behavioral Health and all other funding sources. Overview and Responsibilities The following job-related functions may not include all of the duties, knowledge or abilities associated with this position: Work within E.H.R. system to create and submit claim reimbursement. Reconcile all payments Prepare direct billing, invoicing, and/or request payments for all delivered services from DBH and other grant awards (including private, public, and federal awards). Collect and submit third party payment when applicable. Follow all procedures specified by the agency’s varying funding sources when preparing invoicing and/or submitting reimbursement claims. Posting payments consistently and accurately. Maintain up-to-date client records for CSTAR program and State of Missouri. Review claims for errors, duplicates, and missing data. Administer new hire access to the EHR system and state system. Verify and document all appropriate information into the EHR system and state system. Oversee the monitoring/ tracking of Medicaid renewals, double booking, credentials, death reviews, auto discharge list, TEDS data, billing for psychiatric services, and service by package level. Other duties as assigned.

Requirements

An associate degree in Medical Billing, Business Administration, or other related field OR 5 years’ experience in medical billing
Good communication skills, both oral and written
Experience with Excel including data entry, sorting, creating, and modifying spreadsheets
Must be extremely detail oriented

Nice To Haves

Bachelor’s degree (business or accounting preferred)
Proficiency with ICD-9/ICD-10 coding
Minimum of 2 years of billing experience

Responsibilities

Work within E.H.R. system to create and submit claim reimbursement.
Reconcile all payments
Prepare direct billing, invoicing, and/or request payments for all delivered services from DBH and other grant awards (including private, public, and federal awards).
Collect and submit third party payment when applicable.
Follow all procedures specified by the agency’s varying funding sources when preparing invoicing and/or submitting reimbursement claims.
Posting payments consistently and accurately.
Maintain up-to-date client records for CSTAR program and State of Missouri.
Review claims for errors, duplicates, and missing data.
Administer new hire access to the EHR system and state system.
Verify and document all appropriate information into the EHR system and state system.
Oversee the monitoring/ tracking of Medicaid renewals, double booking, credentials, death reviews, auto discharge list, TEDS data, billing for psychiatric services, and service by package level.
Other duties as assigned.