CFS Billing Specialist

Full Time
Panama City, FL 32405
Posted
Job description

LMCNWF
Job Classification System

LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA, INC.
JOB DESCRIPTION

DATE ESTABLISHED: 12/22/2020
DATE LAST AMENDED: 06/08/2022

TITLE OF POSITION: CFS Billing Specialist

POSITION NUMBER: Job Code 10-11

PROGRAM: Client Financial Services

MINIMUM TRAINING AND EXPERIENCE REQUIREMENTS: High school graduate or equivalent required. 1-3 years third party billing experience required. Familiar with HIPAA guidelines/regulations preferred. Knowledge of general billing accounting procedures preferred. Knowledge and experience in the behavioral health field preferred but not required. Strong data entry skills required. Have flexibility, personal integrity, the ability to function independently, and to work effectively and tactfully with personnel, insurance representatives, clients, their families, and outside organizations.

Compliance with minimum standards for screening of mental health personnel as contained in F.S.
394.4572.

Life Management Center maintains and enforces a drug-free workplace policy. Applicants are required to be drug tested prior to employment. Under certain circumstances, employees may also be required to submit to drug and/or alcohol testing. Information on the Drug-Free Workplace Policy is contained in the employee Handbook and set forth in the Drug-Free Workplace Policy, available through the Human Resources Department and the organization’s website at www.lmccares.org.

SUPERVISOR: Client Financial Services Supervisor

POSITIONS SUPERVISED: None

MINIMUM SALARY: $45,000 annual $21.63 PER HOUR

WAGE AND HOUR STATUS: Non-Exempt

DESCRIPTION OF DUTIES AND RESPONSIBILITIES: *

ESSENTIAL FUNCTION: (Essential functions of this position are listed below. The position also includes additional functions as needed and/or assigned by supervisor.)

1. AR Reconciliation. Check Batch Claim Error Report and Pending Report regularly to determine claims that have been submitted, but not paid. Follow up on these claims to

*Expectations regarding quality and quantity of work are further delineated in the criteria-based performance appraisal.

LMCNWF
Job Classification System determine reason for non-payment, including calling insurance companies and/or resubmitting claims.

2. Audit claims for compliance with payer requirements prior to batching by the outsourced billing company.

3. Stay current on commercial third party and Medicaid billing procedures, procedure codes, filing limits, authorization requirements, and credentialed providers for any particular insurance as applicable.

4. Manual posting of payments not otherwise posted by the outsourced billing company.

5. Assisting clients with questions concerning statements.

6. Manual submission of Florida Medicaid claims on the provider portal.

7. Other tasks as assigned by the CFS supervisor.

PHYSICAL REQUIREMENTS

  • Must be able to hear conversational speech, visually observe client behaviors for safety and communicate effectively with clients and co-workers
  • Vision requirements include close and distance vision

Activity Expectation
Standing Minimal Moderate Frequent None
Sitting Minimal Moderate Frequent None
Driving vehicles Minimal Moderate Frequent None
Lifting and/or Carrying Minimal Moderate Frequent None
Bending and/or Stooping Minimal Moderate Frequent None
Climbing Stairs and/or Ladders Minimal Moderate Frequent None
Walking or Moving (between offices, other facilities, etc.) Minimal Moderate Frequent None

Other (lift above waist/reaching etc., please explain) Minimal Moderate Frequent

Speaking: Yes No
Hearing: Yes No
Reading Comprehension: Yes No
Repetitive motion with hands, wrists, arms Yes No
(e.g keyboard, typing, handwriting, etc.)

Ability to lift and carry up to 15 pounds.

*Expectations regarding quality and quantity of work are further delineated in the criteria-based performance appraisal.

LMCNWF
Job Classification System

Ability to handle stressful situations: Minimal Moderate Frequent

Infrequent Occasional Frequent N/A*
Travel Same Day
Travel Overnight
Overtime (Non-Exempt only)

Holidays/Weekends
Shift Work
(PMs/Midnights)

* Not Anticipated

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Copy received by:

DATE

*Expectations regarding quality and quantity of work are further delineated in the criteria-based performance appraisal.

Job Type: Full-time

Pay: $21.63 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Disability insurance
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

Ability to commute/relocate:

  • Panama City, FL 32405: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • Accounting: 1 year (Preferred)
  • Microsoft Excel: 1 year (Preferred)

Work Location: One location

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