Wheeler's vision is that all people will have the opportunity to grow, change and live healthier, productive lives. Our mission is to provide equitable access to innovative care that improves health, recovery and growth at all stages of life.
POSITION SUMMARY
The Senior Accounts Receivable Representative plays a lead hands-on role in the front end of the billing process. The Senior Representative performs a daily review of transactions in the PsychConsult Batch Error Handler and takes collaborative and progressive action with service providers and programs to resolve all barriers to service completion. The Senior Representative performs quality assurance monitoring of state, government and commercial billing submission and posting, including review for proper categorization of write-offs and adjustments. The Senior Representative promptly communicates any opportunities for process improvement to the Third Party Billing Manager in order to enhance the billing function and maximize revenue. The Senior Representative accurately maintains the fee matrix, manually applies cash payments to client accounts, and performs some direct duties associated with Medicaid billing.
EDUCATION AND EXPERIENCE/QUALIFICATIONS
High School diploma or equivalent plus Certified Medical Biller/Coder designation and 2 - 3 years of experience and knowledge of behavioral health billing/collection practices are required. Proficiency in Microsoft Office applications, excellent verbal and written communication skills, analytical and problem solving abilities, and the ability to multi-task in a fast paced environment is also required. Experience working for a Not for Profit and with Great Plains Microsoft Dynamics and PsychConsult is preferred.
HOURLY RATE $24.00
LOCATION
Bristol, CT
SCHEDULE
Full time
EMPLOYEE BENEFITS
At Wheeler, we're committed to not only supporting your career growth but also ensuring your well-being and security. Here's how we invest in you:
Nurture Your Health:
- Comprehensive medical and prescription insurance through Centivo
- Comprehensive dental and vision insurance through Cigna
- Access to wellness programs to support your physical and mental health
Secure Your Future:
- Enjoy peace of mind with company-paid life and AD&D insurance
- 403(b) Plan, with contributions from the company
Fuel Your Career Growth:
- Pursue your educational goals with our Education Reimbursement Program
- Access training and development opportunities
- Receive a productivity incentive to recognize your hard work and dedication
Maintain Work-Life Harmony:
- Recharge with generous paid time off, including:
- 15 vacation days per year to explore and recharge
- 8 sick days per year for your well-being
- 2 personal days per year for your personal needs
- 2 floating holidays per year to celebrate what matters to you
- 9 paid company holidays to spend with loved ones
- Access free and confidential counseling through our Employee Assistance Program (EAP)
ESSENTIAL DUTIES AND RESPONSIBILITIES
Analyzes and manages the batch error handler on a daily basis and communicates directly with service providers and managers as necessary and within set timeframes to resolve any barriers to transaction completion.
Demonstrates knowledge and competency in maintaining the fee matrix in PsychConsult to accurately and efficiently bill for services provided, and makes all required changes in a timely manner.
Performs quality assurance monitoring of state, government and commercial billing submission and posting, including review for timely and proper categorization of write-offs and adjustments.
Promptly communicates adverse trends or opportunities for process improvement to the Third Party Billing Manager and provides suggestions for improvement in policies, procedures and systems for the effective management of the billing process.
Handles client and payer refund process by regularly identifying any refunds that are due and taking documented timely action to execute such refunds and participating in in preparing the organization's annual filing with the State of Connecticut.
Acts as a back-up for primary billing to Medicaid, handles automatic and manual posting of Medicaid remit, and performs secondary billing and posting to Medicaid.
Ensures the Medicaid compliance monitoring workbook is appropriately completed for any dually-eligible clients.
Manually applies cash payments to client accounts.
Carries out all work in accordance with established internal and external billing and financial policies and procedures.
Continues to develop knowledge and understanding about the history, traditions, values, family systems, and artistic expression of groups served as well as uses appropriate methodological approaches, skills, and techniques that reflect an understanding of culture.
Wheeler Clinic is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status or other characteristics protected by law.
