Wraparound Billing Specialist
Wraparound Billing Specialist
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Job Description
Working with us takes a certain kind of person; we want someone who identifies with our values and is willing to challenge themselves both personally and professionally. We seek employees who are passionate about serving andmaking adifferencein the lives of others.
Make more than a Living Make a Difference
Our Benefits:
- Low-Cost Medical Dental and Vision Insurance
- 19 days of Paid Time Off the first year
- 11 paid holidays
- Retirement savings plan with employer match up to 5%
- Flexible spending accounts
- Paid short-term and voluntary long-term disability
- Group Term Life and AD&D Insurance
- Voluntary term life insurance
- PTO Exchange
- Public Service Loan Forgiveness (PSLF) Eligible Employer
- PTO Exchange
Hourly Rate: $23.00
This is a Remote position with in-person training
Duties & Responsibilities
- Perform data entry and maintain files and electronic data related to service billing for Wraparound Agency. Provide clerical assistance to the program staff. Work with minimal instruction or supervision.
- Ensure timely verification of Medicaid eligibility; regularly verify eligibility status and advise program staff of any changes in status. Enter medicaid provider identification numbers in electronic medical record.
- Track client authorizations; monitor receipt of authorizations and contact Magellan as issues arise. Enter and maintain all authorization numbers in electronic medical record.
- Coordinate with consumer/client applications for authorizations and re-authorizations.
- Coordinate with wraparound facilitators the amount of authorized services remaining for clients and assist in determining if continued authorization is required.
- Prepare and submit charges in electronic data system; Work with Clearwater Support Center (CSC) to resolve billing issues that arise with Magellan. Reconcile information maintained in Magellan Client Advisor data system with Eckerd electronic record system.
- Track clients who receive authorizations and monitor any additional documentation needed for service; Track clients safety plans.
- Coordinate services by tracking plans of care consents addendums and coordination of recommendations made by independent assessors.
- Collect data regarding length of time between referral and first Child and Family Team meeting between referral and first agency contact.
- Respond to requests from SSI and other agencies for client related documentation; complete monthly eligibility verifications and report changes to staff.
Qualifications
- High school diploma or equivalent required. AA degree preferred.
- Two years general office experience required. Experience with insurance or third party billing systems preferred. Thorough knowledge of modern office practices and procedures and the use of office machines and equipment required.
- Intermediate Excel worksheet knowledge required Advanced knowledge of Microsoft Outlook required. Working knowledge of Microsoft word processing; ability to type proficiently; ability to set up and maintain filing systems; ability to learn quickly and work independently; effective verbal and written communication skills; ability to interact effectively with diverse group of clients and staff; maintain working knowledge of policies and practices; ability to take sufficient notes; customer service orientation; ability to multi-task effectively; strong organizational skills with ability to meet deadlines. Attention to Detail is essential to this position.
- Required to pass a drug screen in compliance with our Substance Abuse and Drug-Free Workplace policy.
*This job description is intended to describe the general nature and level of work being performed by a person assigned to this job. It is not to be construed as an exhaustive list of all job duties that may be performed by a person so classified.
About our Program:
Eckerd Connects Wraparound Agencies are part of the Coordinated System of Care (CSoC) under the states behavioral health managed care program that serves children and adults in Louisiana with behavioral health mental health and addictive disorders. Coordinated Systems of Care are national evidence-based models for coordinating services in a family-driven manner to ensure more positive outcomes for children youth and families. The model incorporates a broad array of flexible effective services and supports that is organized into a coordinated network and that integrates care planning and management across multiple levels and systems. Through this coordinated network meaningful partnerships are built with families and youth at service delivery management and policy levels. Family-driven and youth-guided services are provided in the home as well as in community settings that are data-driven and outcome oriented. Treatment plans are individualized and strength-based culturally and linguistically competent and integrated across all child-serving systems.
Wraparound Agency: & paste the link into your browser for more information: Connects employees and applicants for employment are covered by federal state and local laws designed to safeguard employees and job applicants from discrimination based on race color religion sex pregnancy parental status national origin age disability genetic information (including family medical history) political affiliation military service or other status protected by applicable federal state or local laws.
Eckerd Connects is committed to providing equal employment opportunities to all individuals including individuals with disabilities. We comply with the Americans with Disabilities Act (ADA) and applicable state and local laws by providing reasonable accommodations to employees and applicants with disabilities; known limitations related to pregnancy childbirth or related medical conditions; and for sincerely held religious beliefs observances and practices. Auxiliary aids and services are available upon request to individuals with disabilities. If you need assistance or accommodation due to a disability please contact Relay Services Dial 711.
Know Your Rights: Workplace Discrimination is Illegal
Copy & paste the link into your browser: Connects is a drug-free workplace and utilizes E-verify to confirm employment eligibility.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
