ABH Billing Coordinator
LifeView Group
Summary
This hybrid position requires a combination of remote and on-site work, including occasional travel to the DeFuniak Springs, Florida area as part of the position's responsibilities.
Job description
This position is responsible for ensuring behavioral health claims are uploaded accurately and timely in the electronic claims processing system and follow State, Federal, Contractual and Agency standards. This position is responsible for verifying member eligibility, benefits limits, and authorizations, as well as, ensuring standard billing practices are met in order to adjudicate a claim. The Access Behavioral Health (ABH) Billing Coordinator is responsible for ensuring accurate explanations of benefits are sent to providers. This position is also required to develop and maintain strong working relationships with providers and respond to claims inquiries over the phone, fax, and mail. The Billing Coordinator is responsible for responding to audits within the specified timeframe given by the manager.
Assignments/tasks are expected to be executed with considerable independence and maintain compliance with established facility policies and procedures, contract requirements, organization bylaws, and federal and state regulations/laws.
Roles and Responsibilities
- Associate (AA) degree.
- Three (3) years relevant medical office experience.
- High school diploma or GED with five (5) years related experience may be substituted.
- Thorough understanding of Florida Medicaid regulations and requirements.
- Must have the ability to work independently with good decision-making skills.
- Must have critical thinking skills.
- Must have strong organizational skills and the ability to prioritize responsibilities.
- Must be able to maintain effective working relationships with internal and external customers.
- Must be extremely detail oriented with a high level of accuracy while demonstrating the ability to resist distractions.
- Position requires a friendly, confident, and knowledgeable phone presence.
- The position requires proficient computer skills and must be able to use Microsoft Office to complete tasks.
- Thorough understanding of HIPAA guidelines and regulations regarding confidentiality and Release of Information regarding medical records.
- Practice proper telephone etiquette and provide excellent customer service.
- Must be able to pass organization screening requirements, including state or federal background screenings as appropriate.
Requirements
- Associate (AA) degree.
- Three (3) years relevant medical office experience.
- High school diploma or GED with five (5) years related experience may be substituted.
- Thorough understanding of Florida Medicaid regulations and requirements.
- Must have the ability to work independently with good decision-making skills.
- Must have critical thinking skills.
- Must have strong organizational skills and the ability to prioritize responsibilities.
- Must be able to maintain effective working relationships with internal and external customers.
- Must be extremely detail oriented with a high level of accuracy while demonstrating the ability to resist distractions.
- Position requires a friendly, confident, and knowledgeable phone presence.
- The position requires proficient computer skills and must be able to use Microsoft Office to complete tasks.
- Thorough understanding of HIPAA guidelines and regulations regarding confidentiality and Release of Information regarding medical records.
- Practice proper telephone etiquette and provide excellent customer service.
- Must be able to pass organization screening requirements, including state or federal background screenings as appropriate.
Benefits
- Medical, Dental & Vision
- Basic Life and AD&D
- Voluntary Term Life
- Employer Paid Long Term Disability
- Flexible Spending Accounts
- Health Savings Account
- Retirement Savings Plan
- Employee Assistance Program
- Accident Insurance
- Group Critical Illness Insurance
- Individual Short-Term Disability Insurance
- Paid Time Off
- Identity Theft Protection
- Employee Discount Program
- Teladoc
Company overview
LifeView Group is a specialized mental health care organization dedicated to providing comprehensive behavioral health services. The company focuses on delivering evidence-based treatment programs for individuals struggling with various mental health conditions, including depression, anxiety, trauma-related disorders, and substance abuse issues. LifeView Group operates with a patient-centered approach, emphasizing personalized care plans that integrate therapeutic interventions, counseling services, and support systems. The organization likely maintains a network of mental health professionals, including licensed therapists, psychologists, and psychiatric specialists who collaborate to offer holistic treatment solutions. LifeView Group's services may encompass outpatient counseling, intensive outpatient programs, telehealth options, and community-based support initiatives designed to improve mental wellness and quality of life for diverse patient populations. The company operates within the broader healthcare ecosystem, addressing the growing need for accessible and effective mental health services in contemporary society.