• Billing Specialist

    Tri-County Mental Health Services (Kansas City, MO)


    Billing Specialist

    Summary

    **Title:** Billing Specialist

    **ID:** 5697

    **Department:** Financial Services

    **Salary Range:** $16-$17 an hour

    **Employment Status:** Full-time

    Description

    This is an in-office position located in Kansas City, MO.

    POSITION SUMMARY

    This position is responsible for claim submissions, payment posting, invoice submission, and denial resolution. Ability to produce and explain patient statements to consumers. Provides backup support for other billing department team members.

    ESSENTIAL DUTIES AND RESPONSIBILITIES

    The essential functions include, but are not limited to the following:

    • Runs consumer statements monthly, and reviews for errors. Handles calls from consumers regarding monthly statements and sets up payment arrangements as needed.

    • Prepares check request for provider payments to independent contractors.

    • Monitors and audits daily billing procedures for errors. Ensures that there are not duplicate billings.

    • Completes and enters billing and payments for Vocational Services and keeps open communication with Vocational Services staff.

    • Updates CIMOR system for diagnosis code, program changes, and discharges.

    • Applies technology, billing codes, and departmental procedures to process billing accurately.

    • Maintains knowledge of agency technology programs and/or systems needed to do the job and uses them effectively.

    • Communicates with Providers in a professional manner regarding billing and reimbursement procedures.

    • Demonstrates knowledge of Medicaid, Medicare, commercial insurance and state funding to properly prepare documentation for payments.

    • Maintains positive communications with manager and staff to resolve problems and have input on procedural changes as needed.

    • Cross train with other business office employees as needed.

    • Provides backup for Financial Intake as needed.

    • Other duties as assigned

    MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)

    Education/Certifications:

    • High School diploma required.

    • Associates Degree or Bachelor’s degree preferred

    Experience Required:

    • 1 to 3 years minimum work-related experience required.

    • 3+ years minimum work-related experience preferred

    Required Knowledge:

    • Knowledge of processes necessary to submit invoices.

    • Knowledge of processing typical billing adjustments such as contractual discounts, deductibles, and co-payments.

    Skills/Abilities:

    • Excellent communication skills, both written and verbal.

    • Skilled at claims resolution with insurers.

    • Ability to use basic business equipment and Microsoft 365 products.

    • The ability to interact with a diverse population.

    • Strong ability to multi-task with a high level of accuracy and timeliness in project output.

    • The ability to maintain a high level of client confidentiality