Responsibilities Pinnacle Pointe Outpatient offers a wide range of outpatient services across the state of Arkansas with service delivery models to fit the various needs of patients as young as age 5.
We address a variety of emotional / behavioral health needs for children, teens and adults in a traditional clinic-based setting, but we re also able to offer support by providing options for therapy sessions in the school or home.
As a part of Pinnacle Pointe Behavioral Health System, we bring over 25 years of experience providing quality care to children and adolescents.
At Pinnacle Pointe Outpatient, we bring that same experience and attention when treating our adult population. The Pinnacle Pointe Outpatient Patient Accounts Rep coordinates all functions related to accounts receivable.
Duties include, but are not liminted to the following. -Effectively and efficiently manage claims. -Work denials and follow up with unpaid claims proactively.
- Research and edit claims for accurate billing information. -Document all steps taken on accounts so that action is clearly communicated.
- Advance all co-pays to self pay and do contractual adjustments. -Data entry / posting of payments. -Analyze EOBs and post manual payments -Post and balance Medicaid check weekly for each clinic.
- Processes the weekly charges downloaded from Credible and does all the billing for Outpatient Services, for all payor sources (Medicaid, Private Insurance, State Contracts, etc.
Records PA numbers on the system and works with Beacon to correct any Medicaid numbers and / or units, if needed. -Works with each clinic to get the information needed to bill correctly.
PCP, diagnosis codes, PA numbers, units approved, etc.), and other duties as assigned. Benefit Highlights - Challenging and rewarding work environment - Competitive Compensation & Generous Paid Time Off - Excellent Medical, Dental, Vision and Prescription Drug Plans - (K) with company match and discounted stock plan - SoFi Student Loan Refinancing Program - Career development opportunities within UHS and its + Subsidiaries! Qualifications -Preferred a minimum of three years experience as a biller / coder, preferably in a health care facility.
- Familiarity with online portals for claims submissions and correction. -Work with third party coverage under Medicaid and various commercial insurance.
- Requires knowledge of general office and phone skills as well as excellent organization, written communication skills. -Maintain detailed knowledge of electronic health record and other computer software as it relates to job functions.
- Ability to work independently, establish priorities, and organize workload. -Ability to maintain highest level of customer service while demonstrating friendly and cooperative attitude.
- Excellent time management skills and ability to multitask and prioitize work. -Must have legible handwriting. -Strong organizational skills.
- Computer skills necessary. -Must possess excellent verbal communication and customer service skills. -Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Ability to deal with problems involving several concrete variables in standardized situations. -Ability to add and subtract two digit numbers and to multiply and divide with 10's and 's.
Ability to perform these operations using units of American money and weight measurement, volume, and distance. Ability to apply concepts of basic algebra and geometry.
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