Assistant Billing Manager

Pittsfield, MA

Weekdays, 1st Shift! No nights, weekends or holidays!

General Description:

The Assistant Billing Manager works with the billing manager in overseeing the operations of the billing office and serves as the primary backup; assists with direct and indirect coordination of   billing staff and assists with setup and use of the electronic billing system.  The assistant billing manager will be analytical, detail-oriented, flexible and have good interpersonal, judgment and communication skills.

Essential Job Functions

  • Acquires and maintains a current working knowledge of billing practices and changes in behavioral health reimbursement and billing procedures;  AR+ billing and eHana software set ups; and transmitting and payment of claims.
  • Assists with coordination of billing staff, as assigned
  • Assists in the development and management of agency billing policies/procedures.
  • Assists in providing training to clinical support staff on follow-up on enrollment, eligibility and third party and private collections issues.
  • Assists in maintaining and managing all billing system parameters to ensure accurate, timely billing submission.
  • Communicates with payers to determine: verification of benefits that are applicable to services being rendered, authorization requirements and behavioral health specific claim submission requirements
  • Utilizes applicable software and insurer reports to verify the completeness and accuracy of claims data.  Follow up on claims errors and denials.
  • Verifies client pay source eligibility through state resources and insurance  carriers, when applicable
  • Maintains relevant  billing related files, records and logs when applicable
  • Performs all billing follow-through functions, as necessary.
  • Assists in overseeing collection activity and payment application 
  • Advises billing manager of individual account resolution issues or payer specific claim payment related issues
  • Attends payer-specific billing related meetings and trainings as required
  • Facilitates a positive and constructive work environment with other managers within  the administrative offices and organization
  • Provide primary coverage for billing manager

Required skills

  • Effectively problem solve and escalate for resolution to management, billing company or payer when necessary
  • Prioritize individual and staff work and apply judgment in various situations and coordinate staff on projects and other work
  • Ensure that task completion is in compliance with applicable policies, laws and regulations
  • High attention to detail and able to work independently, with little direct supervision
  • effectively and professionally communicate with all levels of the organization, clients and payer representatives
  • Multitask and work in a fast paced environment

 Qualifications

  • Associates or higher degree preferred or significant relevant experience
  • 3-5  years recent experience in billing, claims processing and follow-up in an outpatient healthcare setting, preferably behavioral health; experience with claims research and collections, CPT/ICD10 codes.  Outpatient behavioral health experience strongly preferred
  • Strong customer service and interpersonal skills
  • Experience in a management or coordinator position strongly preferred.
  • Strong experience with automated billing and accounts receivable software
  • Proficiency with applications such as MS  word and excel required

 Other Requirements

  • Ability to pass a Criminal Offender Record Information check (CORI)
  • Ability to pass a Driver’s license check (RMV)

 IND1