Ancillary Billing Specialist

Position Summary:

The Billing Specialist has hands-on responsibility for all payers' claim development, claim submission, payment and contractual allowance posting, denial resolution, and all other follow-up activity to collect on all revenues generated. This role will work closely with established revenue cycle management team to achieve tasks assigned.

Position Responsibilities:

• Must follow EncompassCare Policies and Procedures
• Preserve confidentiality of company, patient, and fiscal information.
• Develop payer/product specific expertise.
• Participate in cross-training with peers to ensure continuation of critical workflow during planned or unplanned staff absences.
• Adhere to established billing and closing cycles.
• Meet with Ancillary Billing Manager and other identified team members to review work plan, progress and strategies.
• Assist with generating/developing claims for submission to assigned pay source.
• Assist with resolving any claims development problems prior to timely claim submission limits.
• Support provider team to ensure that all regulatory requirements are met for claim submission.
• Support revenue cycle management team with submitting claims timely for payment; transmitting electronic media claims in an accurate, complete and timely manner.
• Process, post, and reconcile payments, adjustments and approved write-off's timely and accurately.
• Follow-up on activity on all denied and partially paid claims including research and resolution.
• Support revenue cycle management team by providing necessary documentation for appeals processes, or wherever necessary.
• Research and solve all billing problems, including rebilling delinquent accounts when payments received vary from the open accounts receivable balance.
• Follow established policy for obtaining approval on adjusting account balances for bad debt write off.
• Maintain all billing and financial records in an organized and timely manner which meets all the legal and regulatory requirements.
• Engage in process improvement plans as assigned.
• Perform other duties as assigned.

Knowledge, Skills and Abilities: High School Diploma required. Knowledge of governmental payer sources requirements and regulations is needed. Prior collections and customer service experience demonstrating extreme professionalism and reliability are required. Experience in outpatient mental health billing practices is a bonus.

Benefits:

• Paid CEU's
• Leadership Development
• Flexible Schedules
• Generous PTO
• Competitive Retirement
• Medical Package
• Competitive Pay

The Company:

EncompassCare provides therapy in geriatric healthcare settings that produces measurable outcomes through therapy interventions to truly make a difference in someone's life. We treat everyone on the basis of his/her personal goals, medical conditions, and targeted discharge environment to create a personalized care plan to meet the needs of our residents and patients.