A/R Billing Clerk

 Position is responsible for the overall maintenance of provider credentials within the EHR, including updates to licensing, credentials and necessary modifiers, utilization entry and NPI numbers.  Providers will also be maintained within other state and local systems such as the Ohio Medicaid PNM. Position is responsible for the accurate posting of client and insurance payments to client accounts, researching of insurance denials and errors resulting in incorrect payments, and updates to client funder records when changes occur. Communication with clients regarding loss of or changes in coverage is expected in order to maintain accurate billing and client balances. Will also handle client inquiries regarding account status, balances, errors, etc.  Position will act as a back-up to the Senior Billing Specialist. 

 Essential Duties and Responsibilities include the following:

• New Providers are set up in the PNM and other systems as soon as required information is available (NPI is received)
• Client insurance is verified upon entry
• Updates to licensing/credentials are handled in all necessary systems the date received. Email and voicemail must be monitored regularly for issues that may result in a provider’s inability to bill
• Insurance panel credentialing is started for qualified employees as soon as required information is available
• After insurance billing, errors are reviewed and corrected in clearinghouse when possible.  Errors resulting in needed corrections within the EHR or other systems (PNM) are handled or otherwise communicated to appropriate management
• Client payments are posted to accounts in a timely fashion.  Credit cards are totaled and compared to receipt posting/deposit as are cash and other payment types
• Insurance remittances are posted to EHR using most efficient methods and reconciled to receipt posting/deposit
• Insurance services denied or short paid are researched and any corrections to EHR or other systems made to mitigate future denials; action is taken to rectify denied payments and they are rebilled or handled as necessary 
• Fully reconciled deposit is provided to BH AR Specialist for posting to GL on a weekly basis

Required Education: High school diploma

Location: 4629 Aicholtz Road

 Salary: $17.30/hr. 

Required Skills:

• Provide Excellent Customer Service to internal and external customers 
• Strong adaptability skills that meet the changing demands of the agency; ability to set priorities and respond to tasks with the highest need first 
• Moderate knowledge of Excel spreadsheets and functions is required
• The ability to work independently with some supervision
• The ability to communicate in both verbal and written form
• The ability to form cooperative relationships with staff, fellow co-workers and clientele and work well within a team
• The ability to read, understand and attend trainings to gain knowledge of program required policies and procedures or to advance personal skills with related software applications  

Excellent Benefits:

• Medical, vision, dental insurance, and EAP program.
• Health Savings and Flex Spending account options with agency match.
• 10 days of PTO in the first year of employment.
• Extended illness benefits.
• 403(b) retirement plan with 6% employer match.
• Company car program and mileage reimbursement.
• Federal Student Loan Forgiveness program eligibility and tuition reimbursement.
• Paid apprenticeships and internships.
• On-site childcare with employee discount.
• Employee wellness benefits.