Billing Support Staff

Tueller Counseling Inc•Idaho Falls, ID

1d•$16 - $20•Onsite

About The Position

Title: Billing Support Staff Purpose: Work as a team to ensure the billing is completed efficiently and accurately by; participating in training and acting as a support for Counselors, Community Workers, and Office Staff. Qualifications: Must be 18 years or older High School education Detail-Oriented/Organizational Skills Professional and Friendly with Public Understanding of Insurance / Insurance Verification Computer Literate Enjoy Therapeutic Environment Problem solving Team player Department: Office Staff Supervised by: Billing Lead Positions supervised: None Location: Idaho Falls office Summary of Benefits: Medical Insurance paid for by company for full time employees Dental Insurance is available Vision Insurance is available Simple IRA with 3% company match Life Insurance options Sterling Medical Membership provided for fulltime employees (and family)

Requirements

Must be 18 years or older
High School education
Detail-Oriented/Organizational Skills
Professional and Friendly with Public
Understanding of Insurance / Insurance Verification
Computer Literate
Enjoy Therapeutic Environment
Problem solving
Team player

Responsibilities

Report directly to the Billing Lead
Communicate daily with the other billing team members via group chat.
Communicate any questions and concerns with other team members in the group chats, with the Billing Lead and owners
Assist in problem-solving situations that arise due to EHR, Clearing House, and Insurance Payer issues
Work through the AR to ensure claims are processing correctly and addressing claims that need to be rebilled
Obtain a working knowledge of the EHR as it pertains to claims billing and ensuring routing slips and notes match and are appropriate
Stay updated on the current insurance payers' billing codes and billing rules
Bill Medicaid, BPA, Health and Welfare, IDJC, private insurance companies and other entities/individuals for services rendered.
Review remittances; take corrective action as warranted.
Review benefit coverage, eligibility, program requirements, limitations, and exclusions for clients
Work directly with Counselors, Community Workers, and Office Staff to ensure accurate billing.
Assist with billing counselor claims (electronic and paper) including; individual, family, crisis, group therapy, treatment plans, assessments, etc.
Assist with billing Community Worker claims
Audit files and claims in EHR for missed or inaccurate billing
Review counselor’s billed claims in the claim center of the EHR before pushing them through to the clearing house
Correct and submit claims that are rejected by the clearing house for mistakes
Review incoming processed claims for accuracy and correction as needed.
Communicate directly with insurance companies and clients in regards to claims and balances due from clients and/or insurance companies
Accept and post payments and remittances from clients and insurance companies
Answer incoming calls for Billing Team and retrieve voicemails throughout the day. Answer questions regarding client balances and insurance processing. Send itemized statements or receipts per request of the client.
Review client balances and payments to determine payment arrangements or to be referred to Collection Agency
Assist with answering billing emails daily.
Any other tasks as assigned.
Attend meetings as assigned.
Monitor timely filing deadlines for initial claims, corrected claims, and appeals.
Identify and escalate recurring denial trends or payer processing issues to the Billing Lead.
Assist in identifying underpayments or payment discrepancies when reviewing remittances.
Maintain compliance with HIPAA and confidentiality standards when handling client and payer information.
Ensure accurate application of contractual adjustments and write-offs as directed.
Document claim follow-up activity within the EHR or designated tracking systems.
Maintain organized records of billing communications and payer correspondence.