Billing: Management of all operations of practice billing department including processing of client payments and insurance reimbursements; issuance of receipts; generation and distribution of invoices, statements and superbills; maintain accurate records of client accounts and outstanding balances; prepare and submit insurance claims; follow up on claims with insurance companies; correct/resubmit or appeal claim decisions as appropriate; analyze billing activity for accuracy and perform regular reconciliations; resolve client billing issues and follow up on insurance claims; provide assistance and suggestions to clients regarding payment assistance programs and helping clients apply for healthcare credit programs; communicate with clients regarding upcoming and missed payment deadline; complete insurance verifications and calculate estimated responsibility; consult with management regarding collection processes. Credentialing: Complete and submit credentialing applications to panels for network inclusion; follow up on applications through contract completion; maintain accurate records for all providers; update databases with provider information including CAQH, PECOS, and NPPES; communicate with providers regarding licensure requirements, expiration dates, and board certification requirements; complete and submit re-attestations and network renewals as required by plan guidelines.

Conduct meetings with practice owners to determine needs, review established processes and systems; propose the implementation of processes as needed for increased efficacy and efficiency; coordinate with Team Lead to assign appropriate administrative support based on practice needs; coordinate training schedule with practice owner and administrative staff; and facilitate communication and resolution between practice owners and administrative staff when issues arise.

Perform a variety of tasks to help behavioral health clients with admission process to outpatient services including screening potential clients via phone and email contact; gather client information; create client records in various electronic health record applications; enter information into tracking dashboards and databases; send paperwork utilizing client portals for electronic completion; track paperwork completion; schedule and confirm appointments; communicate with providers about scheduling preferences and availability; answer questions; handle complaints; and make appropriate referrals when necessary.