Website St. Vincent Family Center
This Billing Specialist position is responsible for correcting, completing, and processing service claims for all payer types. He / She is also required to generate reports from both the billing system and the clearinghouse system in accordance with established procedures. This person has public contact of a limited scope, involving routine and standard information exchange with payers, the clearinghouse, client responsible parties and other employees when necessary. This person reports to the Billing Manager.
Contributes to creating a welcoming and inclusive environment for our clients, colleagues and community partners from diverse backgrounds and experiences.
Integrates principles of Trauma Informed Care in all aspects of work.
Is sensitive to the children’s culture and socioeconomic characteristics that delivers the best possible care to the youth and families served.
Weekly review of all validation reports before claim submission Send electronic billing file(s) for all claim payers on weekly basis or other time frame as established by the Finance Team.
Weekly rework claim errors on all payers in order to expedite payment of the erroneous claim(s).
Enroll new and returning clients with local board(s) to gain access to public funding for service payment.
Upload electronic payment files, reviewing and working unpaid claims.
Enter cash receipts and assure correct allocations and distributions in accordance with the established protocol.
Adhere to monthly closing schedules set by the Finance team.
Identify unbilled claims (on a weekly basis) and expedite the billing to avoid non-payment due to untimely filing (know the payer limitations)
Locate missing Explanation of Benefits (EOB’s) for commercial insurance to appropriately move balances to the next payer.
Rebill or re-adjudicate unpaid claims in all payer systems.
Download / upload appropriate payer reports.
Work with staff to enroll in payer networks.
Other duties as assigned or requested.
Facilitates the enrollment of families in non-public school educational funding programs.
EDUCATION and/or EXPERIENCE
High School diploma or equivalent is required. Minimum of one year billing experience is required.
Technical Skills: Strong computer skills to include proficiency with Microsoft Office Suite (i.e. MS Word, Excel and Access). The ability to research and analyze various different types of data information. Ability to use standard office equipment such as copy/fax machines and printers.
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