Laid out on a 78-acre campus, Larned State Hospital (LSH) is the largest psychiatric facility in the state serving the western two-thirds of Kansas with nearly 1,000 employees and the capacity to treat more than 450 patients daily, 24-hours a day, seven days a week. LSH is accredited by The Joint Commission (TJC) and certified by the Centers for Medicare and Medicaid Services (CMS).
https://www.kdads.ks.gov/state-hospitals-and-institutions/larned-state-hospital
- Salary can vary depending upon education, experience, or qualifications.
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This position plays a crucial role in the functioning of the billing department, encompassing essential tasks vital to its operation. The individual in this position evaluates patients’ financial capacity upon admission, oversees billing activities related to Centers for Medicare & Medicaid Services (CMS) and Commercial Insurance, processes all facility & professional claims throughout the revenue cycle, and facilitates Provider Enrollment/Revalidation processes for Medicare, Medicaid, & Commercial Insurance. Additionally, this role collaborates with the PSA II and Chief Financial Officer (CFO) to gather data for Cost Report and DSH Survey submissions. Compiles Monthly Accounts Receivables and Annual Aging report.
Billing Specialist:
This position determines and updates payor information for patients from various sources: Patient Account System, KMAP/Gainwell, WPS, and Insurance Companies systems. Enters appropriate Insurance into the current Patient Account Billing system. Verifies eligibility for billing and available days. Manages the processing of UB-04 (facility) and 1500 (professional) claims throughout the revenue cycle, submitting them through the appropriate clearinghouse for processing, ensure timely filing of claims and collaborates with insurance companies to resolve billing inconsistencies. Facilitate insurance appeals process, reconcile outstanding balances on aging reports, and ensure claims are compliant with CMS, Medicaid & Insurance companies. Research and review each claim with required data for accurate claim processing and payment. Monitor payment transactions, reconcile daily bank deposit & complete deposit reconciliation report on Microsoft Excel, and post entry transactions in the current billing system making sure it balances with deposit. Medicare Cost report and Medicaid Cost report. Maintains monthly ledgers of Medicare admissions, discharges, patient days and bad debt report for the fiscal year end Cost report, reconciles the report for the fiscal year with the PS&R fiscal year report, completes Accounts Receivable and Aging reports. Maintains detailed Medicaid cost report for the fiscal year including admits, discharges, charges billed and payments. Compiles the fiscal year DSH report for submission. Responsible for reporting to the Chief Financial Officer (CFO) and Director of Reimbursement (PSA II) various changes that may occur with policies & standards and keeping the CFO and PSA II up to date & assist with input for decision making that may result in changes. Ensure compliance with all regulations, laws, and guidelines for the hospital and fiscal corporate compliance per the Utilization Review Committee. Provides necessary information to the Utilization Review Committee. Negotiate payment reimbursement with insurance companies for single case agreements.
Manges the collection process for patient files that have obligations due and owing. Sends notice to patient or responsible party for obligations due and owing. Contacts Social Security to apply to become payee for patients if necessary. Has knowledge on patients to provide valuable information to hospital staff which could include Social Workers, Legal, etc. Send monthly statements in regard to obligations. After the insurance processing is finalized, determines any amount due from the patient or responsible party and sends appropriate notice of amount due and owing. Refers accounts for legal collection services as needed.
Prepare various billing reports and information using Microsoft Excel, as requested by PSA II, CFO, KDADS Central Office, auditors, and others to assist management in analyzing billing and collections. Prepare statistical reports for patients to assist in the completion of the fiscal year cost report and DSH report. Attends meetings & workshops sponsored by various organizations to identify billing changes that would impact billing processes and receipts. Attends Patient Accounts meetings and department meetings to evaluate existing collection procedures and formulate new procedures. Submit reports to Utilization Review Committee meetings as required. Annually update Federal Poverty Guidelines and Ability to Pay Assessment Rate for billing. Advises of updates/changes necessary with Charge Codes in Master files. Lead contact for patients with Insurance and coordinates correspondence regarding provider relations. Oversee the Enrollment and Revalidating processes with Insurance for providers and the hospital.
Receives and maintains updated changes in Insurance policies and procedures. Provides signature on checks for the Patient Trust Fund if necessary. Keeps Patients files updated with filing of claims and any correspondence. Represents the hospital at meetings sponsored by insurances companies by noting billing change requirements and analyzes the changes to the billing system.
The incumbent of this position has authorized access or the potential exposure to Protected Health Information (PHI) under provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule. PHI must be treated in accordance with the provisions of the HIPAA Privacy Regulation including the requirements for safeguarding, releasing, and recording.
Assist other employees in the work unit in accomplishing assignments as necessary.
This position will work as a team with the other Billing Specialist to ensure that all accounts are processed appropriately.
Other duties as assigned.
- Two years of experience in providing direction necessary to implement the objectives of an agency, program or organizational unit. Education may be substituted for experience as determined relevant by the agency.
- 5 years of experience billing commercial and/or CMS claims.
- Ability to pass a KBI background and pre-employment drug test.
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Transcripts
DD214 (if you are claiming Veteran’s Preference)
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How to Claim Disability Hiring Preference
Applicants that have physical, cognitive and/or mental disabilities may claim an employment preference when applying for positions. If they are qualified to meet the performance standards of the position, with or without a reasonable accommodation, they will receive an interview for the position. The preference does not guarantee an applicant the job, as positions are filled with the best qualified candidate as determined by the hiring manager.
Learn more about claiming Disability Hiring Preference
PLEASE NOTE: The documentation verifying a person's eligibility for use of this preference should not be sent along with other application materials to the hiring agency but should be sent directly to OPS. These documents should be scanned and emailed to [email protected], or can be mailed/delivered in person to:
ATTN: Disability Hiring Preference Coordinator
Office of Personnel Services
Docking State Office Building
915 SW Harrison Ave, Suite 260
Topeka, KS 66612
The State of Kansas is an Equal Opportunity Employer. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability or any other factor unrelated to the essential functions of the job.
If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.
