What are the responsibilities and job description for the Billing Liaison position at The Consortium Inc.?
Job Details
Description
Join us, you will do the best work of your career right here at the Consortium!
We recognize, reward, and invest in your ideas, while ensuring you can proudly bring your authentic self to the workplace. At the Consortium, we respect and empower each individual and support the diverse cultures, perspectives, skills and experiences within our workforce.
About the Consortium
The West Philadelphia Community Mental Health Consortium, Inc. (Consortium) is a nonprofit (501(c)(3) Community Mental Health Center (CMHC) established in 1967 as one of Philadelphia’s twelve CMHCs. Throughout our history, we have pioneered providing behavioral health services with ‘compassion first’ priorities coupled with excellence in mental health treatments and collaborative understanding. For over five decades, we have helped more than 250,000 people throughout the tri-state area overcome the challenges of mental illness and substance abuse. We have been the home of many firsts, from the first methadone clinic to the first clinic providing integrated care. We have a proud and diverse history that is driven by our community. We have created a compelling record of helping people reach their full potential while strengthening Philadelphia communities, one person at a time, one family at a time.
Located in West Philadelphia, the Consortium is the premier provider of Supports Coordination, Outpatient Mental Health, Addictions, Case Management, Eco-systemic Family Therapy (ESFT) and Functional Family Therapy (FFT) for all ages in West and Southwest Philadelphia, serving approximately 4,000 individuals in 2022. Utilizing Evidence Based Practices (EBP) in all programs, the Consortium is accredited by CARF for outpatient drug and alcohol services and has received the EBP Designation through Community Behavioral Health’s Evidence-based Practice and Innovation Center (EPIC) for both Cognitive Behavioral Therapy (CBT) and Prolonged Exposure (PE) for Post-Traumatic Stress Disorder (PTSD). Most recently, the Consortium’s Integrated Care Program was recognized as “Most Innovative Program” by the City of Philadelphia.
As a Billing Liaison, expectations of the role include but not limited to:
- Enters payments and provides analysis for various payers on a daily basis.
- Acts as backup liaison to unit directors and divisions in resolving client and third-party questions as needed.
- Works closely with responsible program staff to ensure accurate data entry as needed.
- Supports programs in elimination of suspense and rejection items related to billing and collectables daily.
- Processes insurance payments to patient accounts in computerized system.
- Completes variance analysis of billing and payments monthly.
- Re-bills insurance companies or other third parties to secure payment for patients.
- Verifies all entries made by other departments and makes corrections if necessary.
- Trains appropriate personnel in computerized billing system.
- After system generation of paper invoices, reviews the 1500 form for all payers for accuracy prior to submission for payment daily. Submits all paper invoices to the appropriate carrier daily.
- Prepares edits and updates re-submission batches for rebilling as they occur.
- Provides support to supervisor in the handling of the special projects to regulate back billing and service recovery as needed.
- Provides summary analysis of the statistics from various programs including summaries of admissions and discharges, service usage, billing details, etc. daily.
- Acts as liaison with insurance payers to resolve billing matters and ensure receipt of payment,
- Centralized support for programs in ensuring client liability is effectively managed and monitored to support revenue generation for services provided as needed.
What is OFFERED to You
- Competitive Compensation
- Employee Referral Bonus
- Professional Development Reimbursement
- 403b Retirement Plan
- Paid Time Off: Vacation, Sick, Floating Holiday, Company Observed Holidays
- Benefits; Medical, Dental and Vision, Life, Short/Long term disability, EAP
- Auxiliary benefits; Life, AD&D, Critical Illness and Hospital Indemnity
Disclaimer:
This information has been designed to indicate the general nature and level of work performed by employees in this role. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications.
The Consortium is an EOE/Veterans/Disabled/LGBT employer.
The Consortium is proud to be an equal opportunity workplace. We will consider all qualified applicants for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, genetic information, or any other basis protected by applicable law.
Qualifications
What is Expected of YOU
- Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one-year related experience and/or training; or equivalent combination of education and experience.
- Minimum of two years of experience in patient accounting and two years of working in a mental health environment.
- Billing certification is preferred.
- To perform this job successfully, an individual should have knowledge of Excel and other MSFT products Database software; first- and third-party billing spreadsheet software and Word Processing software.
