Nystrom & Associates Ltd
SUD Charge Entry Team Account Representative (Finance)
General Information
Job Title:
SUD Charge Entry Team Account Representative
Location:
1200 County Road E.
Arden Hills, MN, 55112
United States
Relocation Expense Covered:
No
Job Category:
Administrative
Manage Others:
No
Description
As a Substance Use Disorder Charge Entry Team Account Representative at Nystrom & Associates, you will be facilitating timely billing through reviewing and billing out of all services performed by providers. You will be working closely with our SUD Billing Supervisor, Office Managers and providers at each of our clinics. You'll be part of a team helping patients who are experiencing substance use disorder, personal, emotional, and psychological problems. You'll play an important part of that process by answering phones and handling calls in a friendly, welcoming, and timely manner.
Nystrom & Associates is a team of mental health professionals that specialize in psychiatric evaluations, clinical social work, and family therapy. Founded in 1991, we offer an intensive outpatient chemical dependency program, psychological testing, and behavioral health and medication management services.
Job Duties:
Daily review and billing out of provider charges
Weekly reconciliation of Encounter Reports to ensure all acknowledged appointments are billed
Communication with providers on all missing billing
Verifying that claims are billed out properly which includes but is not limited to:
DX Codes
CPT Codes
Provider Credentialing
Insurances
Modifiers
Authorizations
Manage Assigned Task baskets
Entering all charges by deadline dates - 3 deadlines per month
Professional communication with providers and business office staff
Re-billing and/or Void & Re-enter claims as requested by management or providers
To include required information by the insurance company
Expire non-applicable notes from patient accounts
Field/Resolve provider/clinic inquiries via Email/Task within 24 hours
Attend and participate in biweekly staff meetings and any other meetings and/or training sessions as indicated.
Regular reconciliation of hold reports to ensure billing is sent out in a timely manner
Communication with supervisor about any workflow issues
All other duties as assigned by Management
Job Expectations
Recognize any errors being made during self-audits for billing charges
Fixing those errors before sending out claims to insurance companies
Charges are entered within 24 hours of SUD Appointment
Task Baskets
Inquiries are followed up within 24 hours of creation
Adjusts/Edits are completed within 45 days
Recognize/report trends and patterns with providers and clinics
Open communication with Supervisor
Arrive and leave on time according to assigned schedule
Adhere to business office/NAL policies
Cell phone policy
Attendance policy
Gossip policy
Attend and participate in biweekly staff meeting and any other meetings and/or training sessions as indicated
Note and apply updated and changed insurance or workflow information
Communication of any questions and concerns that arise from the meetings
Hours (Please ensure that you can work at least one of the listed shifts below - we do not hire part-time or seasonally):
Monday - Friday 8AM-4:30PM
Monday - Friday 9AM-5:30PM
Qualifications:
Insurance billing and follow up experience; Mental Health/SUD experience preferred
Familiarity with insurance company guidelines and HIPAA regulations
Detail oriented, flexible problem solver; maintains a positive attitude
Computer experience required, Microsoft Windows, Excel, Word, Outlook
Customer service experience
High school graduate or above
Good communication skills
Flexibility
Organization
It is clearly understood that all names, information and materials accessed while in this position are of a strictly and highly confidential nature in accordance with Minnesota state and federal regulations on patient privacy. Compliance with all HIPAA related regulations will be strictly enforced by Clinic Management.