Founded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental health services to adults with serious mental illness. We partner with public sector entities and behavioral health organizations, and have over 135 programs and over 3,900 employees across the country. And we're growing all the time! When you work at Telecare, you help to empower thousands of individuals every day in their journeys of recovery.
Our Corporate Headquarters has over 250 employees in following departments: Executive, Development, Finance, Information Systems, Human Resources, Operations, and Marketing & Operations.
Employment Status: Full Time
Shift: 8am - 4:30pm
Days: Monday - Friday
POSITION SUMMARY
The Reimbursement Specialist is responsible for all billing and collection activities for assigned fee for service/third party facilities, including Medicare and Medi-Cal/Medicaid, counties, commercial insurance and clients. Keeps up to date on all applicable CPT and other coding changes, fee for service and/or contract billing rates and communicates those changes to all affected parties at Telecare. There may be some travel to locations where Telecare does business or plans to do business.
QUALIFICATIONS
Required:
Preferred:
ESSENTIAL FUNCTIONS
o Confirm census, financial eligibility data, authorizations
o Complete paper and/or electronic billing to multiple payers
o Post payments, manually and electronically
o Identify under/overpayments and process refunds
o Respond to claim denials timely
o Run aging reports for collection call identification and complete collection calls and follow up note entry
o Identify bad debt and complete write off requests
o Identify/complete billing adjustment
o Client statements
o Complete month end reconciliation
Duties and responsibilities may be added, deleted and/or changed at the discretion of management.
EOE AA M/F/V/Disability
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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)