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Billing Manager

Company: Minnesota CarePartner
Location: Saint Paul
Posted on: March 28, 2020

Job Description:

About Us:At Minnesota CarePartner, we treat co-occurring disorders through the lens of social justice. We believe that for many, chronic social Injustice fuels the cycle of illness, addiction, and pain. Come and work for a company that is at the forefront of social justice, with a commitment to addressing racial and socioeconomic disparities in behavioral healthcare. We are on a mission to provide marginalized individuals and families with excellent clinical care and close the gap between the "haves and have-nots."Summary of the Position:Minnesota CarePartner Billing Manager will help develop, write and send out bills to individuals and insurance companies in both our Mental Health and 245G Program.Responsibilities:

Maintain financial recordsPost and allocate payments using ProcentivePrepare and file insurance materialsProvider EnrollmentCredentialingCodingRatesInspecting for Units and hoursManage Authorizations through MN-ITS and upload HERSubmit and manage billing Tickets in ProcentiveInvoicing GrantsReview service lines for errorsEnsure Maximum billing achievedCollections, maintaining collection accounts with prompt tracking and follow-upsMedical/mental health billingObtain insurance authorization prior to the client admitting into the programMaintain records on insurance and clientsFollow up with insurance carriers on unpaid or rejected claimsResolve issues and re-submit claimsWork with clinicians as well as medical staff to be in compliance with agency requirementsMaintain Financial Records:
Obtain insurance authorization prior to the client admitting into the programRecord revenue on client accounts, day sheets, and ProcentiveManage aged accountsMaintain records on insurance and clientsPrepare monthly operating reportsRecord accounts receivablePost and allocate payments using ProcentivePrepare and File Insurance Materials:
Prepare and submit insurance claimsCollect and enter claim informationFollow up with insurance carriers on unpaid or rejected claims. Resolve issues and resubmit claimsData entry on insurance records and medical billingCommunicate with staff and insurance companies about the insurance claims and paymentsManage electronic billingMaintain files on each insurance companyMaintain client files on insurance claims and paymentMaintain therapist insurance provider, state license and liability insurance filesEnter information necessary for insurance claims such as client, insurance ID, diagnosis and treatment codes and modifiers, and provider informationEnsure claim information is complete and accurateSubmit insurance claims to a clearinghouse or individual insurance companies electronically or via paper CMS-1500 or UB04 formPrepare appeal letters to insurance carrier when not in agreement with a claim denialCollect necessary information to accompany the appealFor clients with coverage by more than one insurer, prepares and submits secondary claims upon processing by the primary insurerFollow HIPAA guidelines in handling client informationUnderstand managed care authorizations and limits to coverage such as the number of daysVerify client benefits eligibility and coverageAbility to look up ICD 10 diagnosis and CPT treatment codes from online serviceProvider Enrollment and Credentialing:
Fill out and submit complete and accurate information on credentialing applications for each new facilityComplete and submit all MHCP Provider Enrollment documents for each new facilityTrack and maintain records for each facility's MHCP and insurance credentialingCommunicate effectively with the Director of Operations and the Intake and Outreach Manager on the status of credentialing, payments, etc.Other duties as assignedJob Type: Full-timeExperience:
  • Billing: 3 yearsWork authorization:
    • United States (Preferred)Work Location:
      • One locationBenefits:
        • Health insurance
        • Dental insurance
        • Vision insurance
        • Paid time offSchedule:
          • Monday to Friday
          • Day shift

Keywords: Minnesota CarePartner, St. Paul , Billing Manager, Accounting, Auditing , Saint Paul, Minnesota

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