ABH Billing Coordinator

Lakeview Center; Pensacola (FL); Hybrid; USD 40,000 - 60,000; Full time

Benefits offered by this job

Dental

Vision

Life insurance

Long-term disability

Retirement plan

Flexible Spending Accounts

Health Savings Account

Paid Time Off

Teladoc

Job summary

LifeView Group seeks a Billing Coordinator for its ABH program in a hybrid role combining remote and on-site work. You will ensure accurate claims processing, verify eligibility and authorizations, and send explanations of benefits to providers.

Responsibilities include responding to audits, maintaining provider relationships, and ensuring compliance with Florida Medicaid regulations and HIPAA guidelines. Strong prioritization and Microsoft Office skills are essential.

Qualifications

• Associate degree required.
• Three years of relevant medical office experience.
• HS diploma or GED with five years related experience may substitute.
• Thorough understanding of Florida Medicaid regulations.
• Ability to work independently with good decision-making skills.
• Excellent communication and customer service.
• Proficient in Microsoft Office and computer skills.
• Must pass organization background screenings.

Responsibilities

• Ensure behavioral health claims are uploaded accurately and timely in the electronic claims processing system.
• Verify member eligibility, benefits limits, and authorizations, and adjudicate claims.
• Communicate explanations of benefits to providers and respond to inquiries by phone, fax, and mail.
• Develop and maintain strong relationships with providers and respond to audits within the specified timeframe.

Skills

HIPAA compliance

Microsoft Office

Communication skills

Detail oriented

Independent worker

Customer service

Education

Associate degree

High school diploma or GED with 5 years related experience

Tools

Microsoft Office

Job description

Overview

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