Position Summary

Coordinates all aspects of Behavioral Health billing; coding; and collections with external business partner.  Assumes responsibility for serving as the liaison with the Home Health & Hospice departments of Hunterdon Health as it relates to revenue optimization.

Primary Position Responsibilities

Serves as the primary liaison with external business partner performing all Behavioral Health coding; billing; and collections. Responsible for interactions with Finance on month-end closing processes and the distribution of system generated financial reports and metrics. Interacts with Behavioral Health departments as it relates to requirements for billing and coding as a result of a payer inquiry or denial. Monitors Huron Worklist/Outpatient denials to facilitate claim corrections, appeals, and authorization issues. Check insurance eligibility monthly and work with registration staff to ensure that the billing system reflects accurate information. Reviews daily billing to ensure all charges are captured accurately. Interacts with patients and guarantors relating to patient liabilities and/or billing questions. Responds to biller and patient questions regarding insurance coverage and payment issues Other duties as assigned.

 

Qualifications

Minimum Education:

Required:

High School Education or equivalent Certificate and/or Advanced Specialized or Technical Training in Enter Specific Certificate

Preferred:

Associates Degree in Business Administration 

Minimum Years of Experience (Amount, Type and Variation):

Required:

1 yrs/OP Medical Billing

Preferred:

Two years’ experience in a hospital; physician; billing/coding environment, two years’ experience working on a Windows based software package and prior experience working in a customer service environment. Experience with Medicare Rules and other payer requirements. 

License, Registry or Certification:

Preferred:

Certificate and/or Advanced Specialized or technical training, IE: Certified Revenue Cycle Specialist - Institutional (CRCS-I) or Certified Revenue Cycle Specialist - Professional (CRCS-P) through AAHAM. 

Knowledge, Skills and/or Abilities:

Required:

Computer Skills, Customer Service Skills

Preferred:

Detail oriented, bookkeeping skills, Team player