JOB GOAL: Reviews and enters coded medical encounters to accurately reflect charges, maximize revenue capture and ensure compliance with state and federal laws, Medicare, Medicaid, CMH’s and other third-party funding source requirements. Reviews and records payments from all insurances, clients, and third-party funding sources to ensure accurate client financial records are maintained. Responds to billing and collection inquiries in a timely manner. Regularly works outstanding accounts receivable effectively and efficiently to meet accounts receivable management expectations.

RESPONSIBILITIES:

• Reviews the coded Service Activity Logs (SALS) for accuracy, revenue capture and compliance with state and federal laws, government and other third-party payor requirements, and special funding source requirements.
• Creates claims from the coded SALS in the Electronic Health Record (EHR) in a timely manner to accurately bill for services and maximize practice revenue.
• Accurately and timely posts government, commercial, client and all other payments at the Current Procedural Terminology (CPT) level.
• Enters credits and adjustments into the Billing Software System as required to maintain accurate client financial records.
• Processes insurance and client refunds in a timely manner.
• Reviews claim rejections, corrects errors and resubmits as required to maximize revenue.
• Monitors outstanding balances in client accounts to ensure appropriate and timely action is taken to receive payment.
• Assist with client billing claims resolution for all funding sources.
• Assist with the AR Aging and collections process. Generate bad debt write-offs, as appropriate.
• Cross train and serve as back up for AR/billing functions as needed.
• Verifies that all insurance EFT & paper checks have corresponding EOB or ERA.
• Monitors for problems or delays in electronic payment systems.
• Answers telephone and responds to voice and emails about billing and/or collection inquiries promptly.
• Adheres to professional standards, policies and procedures, federal, state and local requirements to ensure HIPAA, safety standards and practice protocols are followed.
• Participates regularly in supervision meetings with the Billing Manager as requested.
• Participate in Billing Team meetings for the sharing of ideas, feedback and department planning.
• Utilize opportunities provided for growth and professional development; this includes ongoing participation in training sessions or workshops.
• Express ideas, suggestions, and concerns in a timely and appropriate manner, using established channels and opportunities to seek resolution.
• Performs other related duties as assigned.

QUALIFICATIONS:

• Minimum 15 years experience in billing and electronic claims submission.
• CMRS or other equivalent certification
• Working knowledge of CPT and ICD10 coding required.
• Familiarity with computerized billing programs and Excel required
• Knowledge of billing revenue cycle preferred.
• Strong Customer Service skills.
• Subscription to the Statement of Faith of Wedgwood Christian Services and agreement with the goal, purpose and objectives of the agency.

HOURS OF WORK: Monday- Friday, 40 hours

Starting Rate: $24-27 hourly

Benefits:

• 403(b) retirement plan with employer match
• Medical plans with great coverage options
• Free supplemental virtual PCP care with medical plan
• Flexible Spending Accounts
• Health Savings Accounts
• Dental and vision plans
• Pet insurance
• Legal insurance
• Flexible Spending Accounts
• A Locally Partnered Employee Assistance Program
• Competitive time off
• Direct deposit
• Federal Student Loan Forgiveness through PSLF
• Paid Holidays
• We also offer a variety of employer paid benefits for full time staff
  • Short term disability
  • Long term disability
  • Life insurance up to 2x your annual salary
• No-cost, employer paid training and re-certification provided to staff
• Wedgwood has full gymnasium and state-of-the art 24-hour wellness center filled with a wide variety of workout equipment, available to staff at no cost.
• Walking trail that leads around the beautiful campus.
• Through community partnerships, Wedgwood employees and in some cases family members, are eligible for application and tuition fee discounts for several local colleges and universities.

Wedgwood Christian Services

Since 1960, Wedgwood Christian Services has been dedicated to aggressively taking on the toughest problems facing children and families through residential care, counseling services, and community programs. Our goal is to support and help restore the physical, social, intellectual, emotional and spiritual well-being of children, adults, and families in our community.

Mission: Wedgwood Christian Services extends God's love to youth, adults, and families through professional counseling and educational services.

Core Values: Integrity, Compassion, Excellence, and Diversity