Nystrom & Associates Ltd
Charge Entry Account Representative - SUD Team (Finance)
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
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
Benefits:
Nystrom & Associates, Ltd. prides itself on the benefits and compensation offered to staff, including:
Medical & Dental insurance
Opportunities for professional growth and career advancement
Health Savings Account (HSA)
Flexible Spending Account (FSA) for applicable medical and dependent care expenses
Paid Time Off (PTO)
Paid Holidays
401(K) Retirement Plan with a generous employer matching program
Supplemental insurances, such as short term disability, cancer insurance, and accident insurance