Accounts Receivable OTP Billing Specialist

Hamilton Center - Vincennes, IN

Full-time

Vincennes, IN

Ambulatory Health Care Services

About the position

The Accounts Receivable Opioid Treatment Program Billing Specialist is responsible for managing the billing and collection processes for patient accounts within the opioid treatment program. This role focuses on ensuring accurate billing to various payers, maintaining electronic billing systems, and enhancing internal processes to improve efficiency and reduce errors. The specialist will also analyze operational data, monitor compliance with health information regulations, and provide regular updates to management regarding the revenue cycle status.

Responsibilities

• Ensure proper billing for all OTP clinics through the current billing platform.
• Bill to all payers including Commercial, Medicare, Medicaid & 3rd Party Grant payer(s).
• Maintain electronic billing systems through our clearinghouse and direct format.
• Manage all client account collections and payment arrangements.
• Define new methods and services to enhance the quality of internal processes to reduce departmental errors.
• Assist customers with terms to secure payments for past due amounts or establish alternative payment plans.
• Manage multiple tasks simultaneously.
• Create and maintain EMR (Electronic Medical Record) service master and payer master.
• Review and interpret operational data to assess need for procedural revisions and enhancements.
• Analyze trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures.
• Maintain a working knowledge of all health information regulations such as HIPAA.
• Understand and remain updated with current claims coding, regulation, and compliance requirements regarding ICD-10, CPT & HCPCS.
• Regularly provide CFO with revenue cycle status including reports, metrics, and presentations.
• Identify revenue cycle problems and implement reliable solutions for improvement.
• Meet regularly with supervisor to exchange pertinent information and receive supervision.
• Participate in various agency meetings and activities as required.
• Monitor all bulletins and updates from Medicare, Medicaid, and other third-party payers.
• Monitor all aging reports for all payers and assist staff in the review process.
• Prepare various reports regarding revenue, adjustment, receipts for management.
• Communicate with payer/local vendors on a regular basis that involve fee for service billing.
• Understand grant funds and LCC funds and how they are received and processed on the accounts receivable side.
• Participate in contract negotiation discussions with Quality and Compliance department.
• Prioritize tasks to meet all deadlines.

Requirements

• Associates degree preferred.
• Three years of experience in medical billing procedures, accounting principles, data entry and retrieval.
• Working knowledge of collection policies, practices, laws and applicable regulations regarding Medicaid, Medicare and major commercial insurance agencies.
• Excellent computer skills, with strong preference for Microsoft Excel and Microsoft Outlook experience.
• Electronic Medical Record experience strongly preferred.
• Basic skills in office/clerical work, math, written and oral communications.
• Ability to use basic office equipment such as copy/fax machine, calculator, etc.
• Excellent customer service skills.
• Willingness to use personal transportation in work capacity.