Analyze billing data to identify trends and discrepancies. Address billing errors, denials and compliance issues. Extract information from systems to retrieve data. Maintain client records by reviewing case notes. Prepared reports by collecting, analyzing and summarizing data.

Ensure the timely collection of monies owed by all insurances and customers. Accurate submission of claims, review of unpaid claims, resubmission of denied claims, and posting of payments. Prepare and submit billing data and medical claims, examine claims for accuracy, and ensure patient and insurance information is accurate and up to date. Monitor and process insurance/patient/balance adjustments and collect payments. Monitor and record late payments; follow up on missed payments and resolve financial discrepancies; investigate and appeal denied claims. Handle posting and balancing of payments and update balance sheets daily. Correspond with Finance Department daily to provide reports and data as needed. Manage collections and past-due accounts.

Enter authorizations in electronic medical billing using Credible Software. Identify and research issues with authorizations. Follow up on Batch Claim Error Report and update billing system with corrections. Assist Finance Billing personnel with corrections for any claims denied or exceptions not paid due to an error. Serve as backup support for Finance billing personnel. Communicate discrepancies and system issues to appropriate Anchor Mental Health Association (AMHA) personnel. Research and correct any exception identified by Finance Billing personnel. Check and report on client service eligibility monthly and record correct information in Credible. Enter appropriate Insurance in Credible software. Prepare all Exception Letters for submission to DBH for local dollars. Provide support and assistance to the Program Accounting Managers and the financial management team. Scan Explanation of Benefits (EOBs) to Finance daily, deposit checks remotely and create Cash Revenue Accounting (CRA) for deposits as needed. Enter credit card transactions and create CRAs as needed.

Greets patients in a polite and professional manner on the telephone. Answers and screens all telephone calls appropriately and independently while scheduling appointments, creating telephone encounters and forwarding them to the appropriate personnel within one business day. Registers new patients in eClinicalWorks and verifies that existing patient registration is complete and all appropriate information are obtained for the patient account. Monitors and responds in a timely manner to patient voicemails daily or as assigned. Monitors and responds to telephone encounter queue daily or as assigned. Monitors actions queue and calls patients to schedule follow-up appointments daily or as assigned. Verifies patients’ insurances and determines any charges/copayments. Marks appointment statuses appropriately. Monitors and responds in a timely manner to patient voicemails, telephone encounters, and actions daily or as assigned. Secures patient information and maintains patient confidence by completing and safeguarding medical records and keeping patient information confidential. Effectively uses de-escalation skills to manage any customer service problems with patients on non-clinical issues, troubleshoots the problem works to find a solution, and contacts supervisor for further assistance if an immediate solution is not available.