Billing Specialist

Our mission is to empower people to improve their lives by living our core values of:

Clients First - Own It - Believe It - Get Better - Got Your Back

Park Avenue Center provides evidence-based, gender-specific drug and alcohol treatment in south Minneapolis, Minnesota. First established in 1979, Park Avenue Center is a community-based program that proudly serves Minnesota’s less fortunate individuals in beautiful settings. Using evidence-based best practices, we have maintained a reputation for the highest quality of services at extremely low rates. Clients we serve typically struggle with multiple barriers including mental illness, homelessness, financial problems, legal issues, and an overall lack of emotional support. Utilizing a multidisciplinary approach, our staff includes Licensed Alcohol and Drug Counselors, Licensed Psychologists, Social Workers and a Registered Nurse. Our robust Mental Health Team allows us to help clients address their various needs. We take pride in the quality of our services and the magnificent environment we have created. As a result, we are able to live our mission!

Position Summary:
The Billing Support Specialist is responsible for various auditing and clerical tasks to ensure both billing accuracy and compliance.

Essential Functions:

• Verify and enter client group and individual attendance into the Electronic Health Records (EHR) system ensuring accuracy and compliance

• Work with internal partners (i.e. Assessors and Counselors) and payers to verify or obtain funding for clients and ensure accuracy of funding details

• Maintain regular communication with Billing Manager and Clinical Staff regarding client data pertinent to records and the billing function

• Complete and/or monitor accurate and timely data in Drug and Alcohol Abuse Normative Evaluation System (DAANES)

• Complete monthly insurance verifications or changes using state MN-ITS system or EHR. When changes occur, work with clinical staff to complete necessary paperwork and obtain new authorizations in a timely manner, avoiding non-coverage and non-payment

• Submit insurance claims to clearinghouse or individual insurance companies electronically

• Follow up with insurance carriers on unpaid or rejected claims and resubmitting the claims as necessary

• Prepare appeal letters to insurance carriers when not in agreement with claim denials; collect necessary information to accompany appeal
• Contribute to department process improvement ideas, training, and implementation
• Responsible for providing quality assurance for billing data
• Maintain professional relationship with clients while following a code of ethics
• Ensure that program administrative operations are conducted in compliance with all pertinent local, state, and federal laws as well as all other mandated requirements
• Know and comply with client rights and of staff responsibilities as outlined in MN Statute 245G
• Perform other duties as assigned

Education/Licensure/Certification:

• High School Diploma or equivalent; Associates Degree preferred

• Computer literacy required
• Previous experience with an Electronic Health Records (EHR) system or computer billing system strongly preferred. Preference will be given to candidates with billing experience in Procentive.
• Ability to plan, organize and prioritize work to achieve outcomes
• Must have analytical, data entry, mathematical and problem-solving skills
• Must have a working knowledge of issues regarding confidentiality
• Must be able to maintain positive public relations with referring agencies and business community at large
• Must possess good verbal and written communication skills and present positive professional image

Additional information

The starting wage is $21.00 to $24.00 per hour based on previous experience. We offer a competitive benefits package including generous paid time off, a training stipend, a 401k match up to 4%, employer paid life insurance and short term disability, and a variety of voluntary benefits: medical, dental, vision, voluntary life, and voluntary long term disability.

Benefits:

• 120 hours PTO accrued in year one
• 4% 401k match after 6 months
• Company-paid training,
• Employer-paid life insurance and short-term disability, contribution to medical,
• Access to dental, vision, voluntary life, and voluntary long-term disability.

Park Avenue Center is an Equal Opportunity Employer