WE ARE NOW OFFERING A $10,000 SIGN ON BONUS!

Community Counseling Solutions offers innovate services in behavioral health all over the state of Oregon. CCS welcomes the candidate who can help spread our mission to: Provide dynamic, progressive, and diverse supports to improve the well-being of our communities.

CCS is looking for a full-time 40 hours/week (1.0 FTE) Billing Specialist in Heppner, Oregon. The Billing Specialist will have the opportunity to be a part of CCS’ billing team and expand skills in patient accounts receivable. This individual will demonstrate exceptional professionalism to patrons, community partners and coworkers. Manifest your expertise in report writing and reviews of accounts for collection purposes, and let CCS know why we would be so lucky to have you. This position provides back up for the front office, familiarity with multi-line phone systems and electronic health records is a plus.

Successful candidates must possess:

• Must be computer literate and have the ability to create and understand spreadsheets, utilize word processing, and learn clinical software.
• A high school diploma or equivalent G.E.D. certificate required,
• a valid driver’s license with personal auto insurance of $300,000 in bodily injury and $100,000 in property damage.
• The ability to pass a criminal background check.
• Proof of Covid Vaccination or approved religious or medical exemption upon hire.

Starting wage for this position is $18.65, but may be more depending upon education and experience, up to $26.11. This is a benefit eligible position which has the luxury to enjoy the CCS 401K match, medical, dental, life insurance, EAP, and much more! EEO

DESCRIPTION

Responsible for collecting, posting and managing patient accounts receivable. Responsible for submission of claims including medical coding, and follow up with insurance companies. Prepares and reviews client statements as well as reviews accounts for collection purposes. Performs clerical and secretarial work in direct support of agency programs and clinical staff. Duties generally consist of dictation, data entry, answering phones, greeting and scheduling clients, answering general question, filing, copying, typing letters, putting together basic spreadsheets and a variety of other tasks described below.

SUPERVISION

Supervision Received

This position works under the supervision of the Billing Supervisor.

Supervision Exercised

This position does not have any supervisory responsibilities, but may assist in the training of new Billing Specialists and Office Support Specialists as needed.

RESPONSIBILITIES

Residential Authorizations Coordinator

Receive request for prior authorizations through the electronic health record (EHR) and/or via phone or fax or email from facilities and ensure that they are properly and closely monitored.

Process referrals and submit medical records to insurance carriers to expedite prior authorization processes.

Manage correspondence with insurance companies, physicians, and administration as needed, including documenting in the EHR as appropriate.

Review accuracy and completeness of information requested and ensure that all supporting documents are present.

Review denials and follow up with provider to obtain medically necessary information to submit an appeal of the denial.

Keep track of current authorizations to ensure there are no gaps in coverage.

Residential/DMAP Biller

The residential is responsible for maintaining A/R documents for the following impatient facilities:

• Lakeview Heights
• Juniper Ridge
• Westgate
• Salmon Run
• Columbia River Ranch
• New Roads

They will work closely with the administrators, and assistant administrators at each location in order for billings to be conducted in an efficient and timely manner.

This position will also bill out, post, and rebill all outpatient mental health claims to open card Medicaid also referred to as DMAP.

This position will also provide front desk back up if needed.

Client statements/Relations Biller

The client statements/relations biller is responsible for ensuring statements are mailed out in a timely manner.

They will work closely with clients who call in with questions with their statements and will work closely with the front desk to ensure insurances are correct in both Credible and Epic.

They will work with the Health Department Biller to complete workques, and answer client questions via Epic’s internal messaging systems.

This position will also provide primary front desk back up for the John Day office.

Health Department Biller (Taken over by OCHIN OBS as of 10/1/2022)

The health department biller is responsible for completing workques in a timely manner, monitoring JIRAs, posting payments from insurance in EPIC, and monitoring client accounts.

They will work closely with the client statements/relations biller to ensure that workques and clients accounts are managed accurately and efficiently.

This biller will be an OCHIN/EPIC site specialist and will work closely with the health department manager to ensure any outages or changes that are implemented are monitored.

EOCCO Biller

The EOCCO Biller is responsible for posting and rebilling claims from the EOCCO payer for behavioral health.

This biller will work closely with representatives from EOCCO, MODA, and GOBHI to ensure claims are processed as clean and accurately as possible.

This biller will also relay information regarding capitated payments and denials to the billing supervisor.

This position will also provide front desk back up if needed.

Invoicing/Manual Claim Biller

The invoicing/manual claim biller will be responsible for sending invoices to contracted agencies for reimbursement and send paper claims to respective locations.

This biller will work closely with different agencies to ensure statements, invoices, claims, and payments are received in a timely manner.

This biller will also provide QA for the statements prior to them being sent out and will complete the WRAP report, and Babies First and Cacoon reports for the health department.

This position will also provide front desk back up if needed.

Private Insurance Biller

The private insurance biller is responsible for posting and rebilling claims from private insurances for behavioral health.

This biller will work closely with representatives from various insurance companies to ensure claims are processed as clean and accurately as possible.

This biller will also monitor insurances and notify the billing supervisor if a new insurance company is needing to be billed.

This biller will also provide Medicare billing posting and rebilling of claims with the assistance of the billing supervisor as needed.

This position will also provide front desk back up if needed.

Prepare and review patient statements.

Review delinquent accounts and perform communication for collection purposes.

Submit claims to insurance companies. Ensure proper coding of services, data entry of services, and perform claims follow up.

Perform word processing to prepare all office forms with reasonable speed and accuracy.

Administer forms for urinalysis testing (UA’s), provide accurate information on the UA’s to clients, in some cases observes the UA, and record all pertinent information.

Handle multiple phone lines with voice mail system on a daily basis. Route calls to appropriate clinician.

Deal effectively and in a friendly manner with all patrons and employees in person and by phone, and direct calls and individuals to proper sources; answer inquiries and provide correct general program information to the public and clients; communicate with community agencies effectively, provide information, referrals, etc.

Order supplies when requested by the Billing Supervisor.

Schedule clients for appointments, assist in the completion of intake paperwork when necessary, obtain completed intake paperwork, communicate with and collect fees from clients, explain fees to clients, obtain insurance information for billing purposes, enter data into computer system database.

Maintain agency and clinical forms files and supply of new client files. Copy client files as needed. Maintain clinician schedules via use of computer scheduling. Ensure entry into billing system of contracted or non-clinical services.

Inventory office supplies and notify appropriate staff when items need to be re-ordered. Receive freight. Mail correspondence, and pick up and distribute mail.

File documents in client files. Purge files when statute of limitations has expired.

Interpret client accounts and explain this information to client. Identifies and resolves patient billing problems.

Collects, posts and manages patient account payments and prepares deposits and other administrative reports.

Perform and participate in agency financial controls as directed.

Record changes of information for client records. Complete authorizations to share and exchange information.

Maintain office equipment, ensuring that equipment is in working order. Assist staff in troubleshooting problems.

Submit reports to the state, GOBHI and other agencies as required.

Gather and distribute information as requested by the Billing Supervisor or Office Support Supervisor (i.e. timesheets, purchase requests, service tickets, and other office forms).

Responsible for opening the front office for business and closing the front office to assure the security of confidential information.

Acts as a back up for other Office Support or Billing Specialists as needed.

Other duties as assigned.

QUALIFICATIONS

Education and/or Experience

High school diploma or equivalent G.E.D. certificate. Must be computer literate and have the ability to create and understand spreadsheets, utilize word processing, and learn clinical software systems. Must be able to type quickly and accurately.

Certifications

No certifications are required.

Other Skills and Abilities

Knowledge or have the ability to obtain basic knowledge of medical billing/coding/third party operating procedures and practices.

Must be well organized and detail oriented.

Must have the ability to establish and maintain effective working relationships with patients, employees and the public.

The position requires the handling of highly confidential information. Must adhere to rules and laws pertaining to client confidentiality.

Must posses, or have the ability to possess functional knowledge of business English and medical terminology.

Must have good spelling and basic mathematical skills.

Must have knowledge of basic bookkeeping skills for balancing accounts.

Must have the ability to learn assigned tasks readily and to adhere to general office procedures.

Time management skills are essential. Must be able to work with minimal supervision.

Must have in depth knowledge of standard office equipment.

Must be able to communicate effectively in both written and oral formats. Must have the ability to present and exchange information internally across teams and co-workers, and externally with customers and the public. Must have the ability to read, understand and follow oral and written instructions.

CRIMINAL BACKGROUND CHECKS

Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR 410-007-0200 through 410-007-0380.

In addition to a pre-employment background check, each employee, volunteer and contractor shall be checked on a monthly basis against the OIG and GSA exclusion lists, as well as other federal and state agency lists. If it is discovered that an employee, volunteer or contractor is excluded or sanctioned it will be the cause for immediate termination of employment, volunteering, or the termination of the contract.

PERSONAL AUTO INSURANCE

Must hold a valid driver’s license as well as personal auto insurance for privately owned vehicles utilized for CCS business such as client service purposes, travel between business offices and the community, to attend required meetings and trainings.

Must show proof of $300,000 or more liability coverage for bodily injury and property damage, and maintain said level of coverage for the duration of employment at CCS.

The employee’s insurance is primary with CCS insurance being secondary. CCS reserves the right to deny any employee the use of a vehicle owned by CCS.

PHYSICAL DEMANDS

While performing the essential duties of this job, the employee is regularly required to use office automation including computer and phone systems that require fine manipulation, grasping, typing and reaching.

The employee is also regularly required to sit; talk and hear; use hands and fingers and handle, smell or feel. The employee is occasionally required to stand; walk; reach with hands and arms; stoop; kneel and/or squat when adjusting equipment or retrieving supplies.

The employee may occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision, peripheral vision, distance vision and the ability to adjust focus.

WORK ENVIRONMENT

Work is performed in an office environment and the noise level is usually moderate, but occasionally may be exposed to loud noise such as raised voice levels and alarms.

This position may be exposed to the everyday risks or discomforts which require normal safety precautions typical of such places as an office (i.e. moving mechanical parts, airborne particles, electrical shock, etc.).