Billing Specialist
ACCESS Group Inc. · Little Rock, Arkansas, US
Description POSITION PURPOSE Maintains client accounts, submits claims to insurance companies and Medicaid, and generates client invoices.
Job description
Description POSITION PURPOSE: Maintains client accounts, submits claims to insurance companies and Medicaid, and generates client invoices. ESSENTIAL FUNCTIONS & BASIC DUTIES: - Verifies individual client’s private insurance and Medicaid for Admissions in order to provide parents/guardians with payment estimates prior to scheduling appointments. - Completes prior authorization requests for private insurance clients and maintains them, as required. - Uses private insurance and Medicaid verifications to set up all payor sources in applicable billing system to ensure that billing is submitted to the correct primary, secondary, and tertiary payor sources. Updates and maintains client information upon notification of changes. If there are changes to individual accounts which affect ACCESS’s ability to bill for services, Accounts Receivable Supervisor should be notified immediately. - Submits Medicaid bulk eligibility requests in deTaso at the beginning of each week. Places billing on hold for clients that are determined to be ineligible. Contacts parents regarding status of Medicaid and monitors status. Keeps Accounts Receivable Supervisor apprised of status. - Processes medical records...