Job Description:

Job Title: Billing Specialist
Location: Kirksville, MO

Department: Preferred Family Healthcare:Billing Department

Employment Type: Full-time
Shift: Monday - Friday, 9:00 A.M. - 5:00 P.M.

Job Summary:
Are you detail-oriented and adept at managing databases and financial records? Join our team at Preferred Family Healthcare as a Billing Specialist! In this role, you'll oversee the in-house database, ensure accuracy of billing records, and collaborate with various departments to streamline billing processes.

As a Billing Specialist, you'll be responsible for maintaining accurate billing records, reconciling invoices, and submitting billable services to relevant agencies. The ideal candidate will have strong communication skills, attention to detail, and proficiency in database management and financial software.

Kirksville, MO offers a variety of events and activities to choose from. Whether it's visiting the state park, stopping by the farmers market, being engaged in the college and universities, or enjoying community events and businesses. Kirksville is a community driven hub with a high quality of life. Join us in making a difference in the lives of our clients and advancing your career!

Position Perks & Benefits:

• Employee benefits package - health, dental, vision, retirement, life, & more**

• Competitive 401(k) Retirement Savings Plan - up to 5% match for Part-Time and Full-Time employees

• Company-paid basic life insurance

• 29 Days of PTO for Full-Time employees

• Emergency Medical Leave Program

• Flexible Spending Accounts - healthcare and dependent child-care

• Health & Wellness Program

• Employee Assistance Program (EAP)

• Employee Discount Program

• Mileage Reimbursement
  

Key Responsibilities:

• Database Mastery: Oversee the in-house database, ensuring up-to-date entry of all group logs, transfers, discharges, and clinical reviews, serving as the gatekeeper of accurate and comprehensive data.

• Billing Accuracy: Review clients' billable services, meticulously monitoring the accuracy of procedure codes, package authorizations, and limits of services, ensuring transparency and compliance in billing practices.

• Efficient Coordination: Request and track Clinical Reviews from designated program staff, ensuring timely entry of requests and seamless coordination between departments.

• Admissions Precision: Collaborate with Admissions Specialist to ensure accuracy of admission entry into databases, facilitating smooth transitions for clients into our care programs.

• Financial Oversight: Monitor funding sources and complete Medicaid status reviews at admission, transfer, and discharge, safeguarding financial sustainability and maximizing resources for client care.

• Audit Excellence: Conduct daily, weekly, and monthly audits to check for overlaps in billable services, maintaining integrity and accuracy in financial records.

• Financial Reconciliation: Reconcile invoicing for the Accounting Department, including balancing services, client fees, and patient responsibility, ensuring financial transparency and accountability.

• Database Integrity: Post client fee deductions and non-posted services from invoice into the internal database, maintaining the integrity of financial records and ensuring accurate reporting.

• Billing Submission: Submit billable services to DMH and Medicaid through batch processing based on established cycles and deadlines, optimizing efficiency in reimbursement processes.

• Claim Review: Review claim confirmations and make corrections as necessary, ensuring accuracy and completeness in billing submissions.

• Adaptability and Initiative: Hand-key services into the database each billing cycle if unable to submit through the batch process, demonstrating flexibility and initiative to ensure timely and accurate billing.

• Timely Reporting: Deliver timely reports to designated recipients regarding client admissions, discharges, and billable services, providing valuable insights for decision-making and planning.

• Innovative Solutions: Assist with the development of new in-house computerized billing systems and client demographic databases, contributing to continuous improvement and innovation in billing processes.

• Team Collaboration: Perform other duties as assigned by the Billing Supervisor or Executive Team members, contributing to the success and growth of the organization through teamwork and collaboration.
  

Education and/or Experience Qualifications:

• High School diploma with courses in typing and business practices.

• At least three (3) years of experience in a secretarial or bookkeeping position, including two (2) years of experience with computers.

Required License/Certification:
None

Additional Qualifications:

• Considerable knowledge in preparation of all medical claims in billing and electronic billing software.

• Ability to obtain necessary documentation.

• Superior communication and customer service skills.

• Excellent 10-key and alphanumeric data entry skills with attention to detail.

• Proficiency in common word processing, spreadsheet, database, and web-based applications.

Brightli is on a Mission:
A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance use care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we value diversity, equity, and inclusion in our workforce and encourage applications from individuals from diverse backgrounds and experiences. If you are passionate about empowering your local communities and promoting health equity, we invite you to join our mission-driven organization that is committed to building a diverse, equitable, inclusive, and authentic workplace.

We are an Equal Opportunity and Affirmative Action Employer, and encourage applications from all qualified individuals without regard to race, color, religion, sex, gender identity, gender expression, sexual orientation, national origin, age, marital status, disability or veteran status, or to other non-work related factors.

Preferred Family Healthcare is a Smoke and Tobacco Free Workplace.