ABH Billing Coordinator

GCE; Pensacola (FL); Hybrid; USD 42,000 - 54,000; Full time

Job summary

LifeView Group, a nonprofit healthcare organization, is seeking an ABH Billing Coordinator in a hybrid role combining remote and on-site work in Florida. You will manage claims in the electronic system, verify eligibility and authorizations, and communicate benefits to providers while maintaining compliance with state and federal regulations.

The role requires a background in medical office work, strong attention to detail, and excellent customer service with provider interactions across phone,

Qualifications

• Associate degree or equivalent medical office experience.
• 3 years of relevant medical office experience.
• Thorough understanding of Florida Medicaid regulations.
• Ability to work independently with good decision-making.
• Excellent attention to detail and organizational skills.
• Strong communication with internal/external customers.
• Familiar with HIPAA guidelines and Release of Information.

Responsibilities

• Ensure behavioral health claims are uploaded accurately and timely into the electronic claims processing system.
• Verify member eligibility, benefits limits, and authorizations to adjudicate claims.
• Provide accurate explanations of benefits to providers.
• Respond to audits within the manager’s required timeframe.
• Develop and maintain strong provider relationships; respond to inquiries via phone, fax, and mail.

Skills

HIPAA compliance

Telephone presence

Customer service

Critical thinking

Time management

Education

Associate degree

HS diploma or GED with related experience

Tools

Microsoft Office

Job description

LifeView Group is a nonprofit human services organization whose Mission is “helping people throughout life’s journey.” Our 2,500 team members impact lives in multiple states and the District of Columbia. As a parent company, LifeView Group’s work encompasses two affiliates – Lakeview Center’s behavioral health care and Global Connections to Employment’s career services for people with disabilities. Learn more at LifeViewGroup.org.

Primary duty

This hybrid position requires a combination of remote and on-site work. More details will be provided during the interview process.

This position is responsible for ensuring behavioral health claims are uploaded accurately and timely in the electronic claims processing system and follow State, Federal, Contractual and Agency standards. This position is responsible for verifying member eligibility, benefits limits, and authorizations, as well as, ensuring standard billing practices are met in order to adjudicate a claim. The Access Behavioral Health (ABH) Billing Coordinator is responsible for ensuring accurate explanations of benefits are sent to providers. This position is also required to develop and maintain strong working relationships with providers and respond to claims inquiries over the phone, fax, and mail. The Billing Coordinator is responsible for responding to audits within the specified timeframe given by the manager.

Assignments/tasks are expected to be executed with considerable independence and maintain compliance with established facility policies and procedures, contract requirements, organization bylaws, and federal and state regulations/laws.

About LCI with Benefits

• Medical
• Dental
• Vision
• Basic Life and AD&D
• Voluntary Term Life
• Employer Paid Long Term Disability
• Flexible Spending Accounts and Health Savings Account
• Retirement Savings Plan (RSP)
• Employee Assistance Program
• Accident Insurance
• Group Critical Illness Insurance
• Individual Short-Term Disability Insurance
• Paid Time Off
• Identity Theft Protection
• Employee Discount Program
• Teladoc

Roles and Responsibilities:

• Associate (AA) degree.
• Three (3) years relevant medical office experience.
• High school diploma or GED with five (5) years related experience may be substituted.
• Thorough understanding of Florida Medicaid regulations and requirements.
• Must have the ability to work independently with good decision-making skills.
• Must have critical thinking skills.
• Must have strong organizational skills and the ability to prioritize responsibilities.
• Must be able to maintain effective working relationships with internal and external customers.
• Must be extremely detail oriented with a high level of accuracy while demonstrating the ability to resist distractions.
• Position requires a friendly, confident, and knowledgeable phone presence.
• The position requires proficient computer skills and must be able to use Microsoft Office to complete tasks.
• Thorough understanding of HIPAA guidelines and regulations regarding confidentiality and Release of Information regarding medical records.
• Practice proper telephone etiquette and provide excellent customer service.
• Must be able to pass organization screening requirements, including state or federal background screenings as appropriate.

LifeView Group, Inc.is an Equal Opportunity employer.Individuals with Disabilities and Veterans are encouraged to apply. Drug Free Workplace Employer, DRUG TESTING REQUIRED