Billing Specialist (SUD/Medicaid)

The Elizabeth Layton Center is seeking a Billing Specialist to join our Operations team in Ottawa, KS. If you thrive in a vibrant, supportive, and inclusive work environment, this is the opportunity you’ve been looking for!

Who we are:

Elizabeth Layton Center (ELC) is honored to be designated a Certified Community Behavioral Health Clinic (CCBHC), with locations in Ottawa and Paola, KS. CCBHCs offer a model of care focused on accessible and integrated behavioral health services. Our vision is to be recognized as the provider of choice for coordinated physical and behavioral health services in the communities we serve. ELC specializes in working with underserved populations to meet the growing needs unique to their situation and life experiences.

What we offer:

• Competitive compensation
• A comprehensive benefits package
• Generous paid time off
• Wellness resources to support your well-being
• A collaborative, supportive team environment
• Ongoing opportunities for professional growth
• A healthy work-life balance

SUMMARY:

This position is responsible for preparing Substance Use Disorder (SUD) claims for submission and for managing the 60+ days AR for all types of unpaid Medicaid/KanCare claims by reviewing and submitting corrected claims for payment and other activities relating to ELC receiving Medicaid/KanCare revenues in a timely manner. This position reports directly to the Operations Director.

MAJOR JOB RESPONSIBILITIES:

• Utilizing a working knowledge of the Substance Use Disorder (SUD) payer sources including authorization processes, claims submission, claim correction and payment requirements; will review SUD program claims weekly for accuracy prior to initial submission assuring correct payer, CPT code, units, authorization, etc. and will work with staff to resolve problem claims
• Manages all Medicaid/KanCare aged accounts for delayed payment (60+ days) by identifying/researching status of outstanding claims then submitting corrected claims, requesting recoupments, reconsiderations and appeals as appropriate and in the process utilizing available resources including coordinating with the MCOs and ELC providers through internet based systems, portals, email, chat, call centers, spreadsheets and ELC billing system to get claims paid
• Position provides support to co-workers in problem-solving billing related issues
• Provides professional customer service to all clients, their payers and other business associates
• Attends monthly and quarterly statewide biller meetings as scheduled
• Attends relevant KanCare/Medicaid trainings
• Provides backup for weekly claim submissions for all payer types
• Provides backup for posting claims payments for all payer types
• Communicates openly and timely with staff and management regarding trend concerns, eligibility concerns and other issues as they arise
• Completes all required trainings as assigned
• Perform other duties as assigned by the supervisor or designee
• Complies with ELC policies and procedures

 ELC is an Equal Opportunity Employer (EOE) and considers all applications irrespective of race, marital status, sex, age, skin color, religion, nationality, veteran status, disability or any other characteristic protected by law. Take the next step toward a bright future – apply today and become part of a team where your contributions truly matter!    

EDUCATION AND/OR EXPERIENCE:

• High school degree or equivalent, some college preferred
• Proficient in use of computer and Microsoft office
• One to two years of experience in medical billing or accounting preferred
• Previous customer service experience preferred
• Ability to pass all required background checks

KNOWLEDGE, SKILLS AND ABILITIES:

• Ability to use own judgment in interpreting and adapting guidelines such as policies, regulations, precedents and work directions for application to specific cases or problems
• Ability to establish and portray a positive working image with other departments and the public
• Good knowledge of business English, spelling, punctuation and vocabulary
• Ability to understand and follow oral and written instructions accurately
• Ability to organize and coordinate special projects under the direction of the supervisor 
• Ability to work with
• limited supervision. Ability to work independently, without constant direction and to organize and perform assigned tasks 
• Ability to conduct transactions and establish and maintain effective working relationships with other employees and the public in a professional manner
• Ability to maintain client confidentiality
• Ability to communicate with all levels of management
• Ability to safely perform major job responsibilities with or without reasonable accommodations