Inpatient Billing Specialist - Billing - 003

LifeStream is a behavioral health and social services organization that provides high-quality treatment, education, care management, rehabilitation, child welfare, primary care and homeless services to children, adolescents, and adults. Located in Central Florida, LifeStream primarily serves the residents of Lake, Citrus and Sumter Counties, with additional programs located in Orange, Marion, Hernando counties.

INPATIENT BILLING SPECIALIST - Billing - 003

JOB SUMMARY: The Inpatient Billing Specialist is responsible for billing inpatient charges for all insurances and to self-pay consumers. He/she is responsible for auditing accounts after payments and doing write-off sheets and reviewing payment and prepared adjustments.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Batch and bill (paper and electronic) inpatient charges to all payers (Medicare A&B, Medicaid MMAs, & Commercial Insurances) both for primary and secondary claims
• Review unpaid claim files every 30 days/ follow up on denied claims
• Work 60 day outstanding A/R report
• Utilize EASE and DDE as a tools for Medicare Part A claims updates a follow-up
• Utilize SPOT as a tool for Medicare Part B claims updates and follow-up
• Copy/File all incoming EOBs and authorizations to corresponding episodes of care
• Review EOBs for accuracy of payments and postings
• File appeals and follow-up if not responded to in a timely manner
• Request medical records for appeals/claims/insurance company inquiries
• Mail letters to inpatient consumers: Insurance Paid Letter, Coordination of Benefits, Denial, etc
• Answer consumer calls/return voice messages/take over the phone credit card payments
• Draw up and send out payment contracts upon consumer request
• Prepare charts for end of month write-offs
• Continue medical billing training/education to ensure accurate billing
• Ability to perform other duties as assigned
• The ability to comply with the regulations requiring a workplace of dignity and respect and equal employment opportunity compliance.
• The ability to work collaboratively with others and to accept constructive criticism from supervisors and managers.
• Willingness to abide by the company’s published rules and regulations

KNOWLEDGE AND JOB SKILLS: Data Entry, Microsoft Word and Excel, Office 365, Common computer skills, Knowledge of basic office equipment, business math, and typing.

EDUCATION & EXPERIENCE:

Education:
High School diploma required.

Experience:
One-year experience in a medical office setting with extensive computer experience required.
Billing experience in a mental health setting preferred.
Experience working in EASE, DDE, Availity, Net Smart/Rev Connect, TIER and other related billing systems is preferred

TRAINING & DEVELOPMENT: Completes all requirements according to Individual Training Plan within the first six months of hire and annually. Other training and/or professional trainings/ certifications.

CHECK OUT THESE GREAT BENEFITS!

• Health/Dental/Vision Insurance
• Short Term Disability
• Pension Plan
• 403(b)
• PTO over 4 weeks your 1st year!
• Flexible Work Schedules
• Shift and Weekend Differentials
• And More!

Quick Apply or through LifeStream's Website:

https://secure3.entertimeonline.com/ta/6030993.careers?CareersSearch

LifeStream is an equal opportunity employer and does not discriminate against any applicant based on age, citizenship, color, covered veteran status, disability, gender identity, genetic information, marital status, race, religion, sex, sexual orientation, or other protected status in accordance with applicable federal, state, and local laws.