01Responsibilities
Understands the entire billing lifecycle invoicing, claims submissions, post payments and collections using the Central Reach platform.Provide administrative support to internal employees.Identify billing inconsistencies and provide claims guidanceProcess payments and make adjustments accordingly working with insurance companies to make sure claims get approvedProcess denied claims through working with insurance companies and resubmit claimsUnderstand how to interpret EDI filesKnowledge of Behavioral Health type of billing codes is mandatory.Maintains and updates fee schedules in software accordinglyFollows up on aging receivablesContacts families regarding nonpayment of invoices which may include any of the following avenues: email, text, and phone callVerify eligibility of insurance coverage, determine insurance coverage periods, update changes in the electronic record.Provide reports on billing and collection activities as requestedUnderstands remittance posting and claim reviewing process