Sequel Youth and Family Services is a privately owned company that develops and operates programs for people with behavioral, emotional, or physical challenges. Our mission is to prepare our clients to lead responsible and fulfilling lives by providing mentoring, education, and living support within a safe, structured, dynamic environment — whether on one of our campuses, in the community, or in their own homes.
This position is responsible for notifying established third party payers of all billed accounts by mail, telephone, or by email for the purpose of collection on all accounts. Duties include: billing, receiving payment, posting payment amounts to patients account, and initiating collection proceedings.
Perform weekly billing for all facilities and schools
Billing in accordance with state Medicaid’s and third party commercial payer requirements
Receive payments and post amounts paid to patient accounts in patient’s data base system.
Communicate with facility personnel regarding patient’s admissions, insurance, and authorizations
Locate and monitor overdue accounts.
Contact commercial/state insurance companies to check on status of claims payments and write appeal letters for denial on claims.
Answer customer questions regarding problems with their accounts.
Record information about financial status of customers and status of collection efforts.
Sort and file correspondence, and perform miscellaneous clerical duties such as answering correspondence and writing reports.
Have a strong background in the workings of medical billing software
Knowledge of the CMS Uniform Billing Manual
Complete CMS 1500's and 1450's
Bill claims with numerous state/commercial website portals
Manage self-pay accounts.
Familiar with multi-faceted Revenue and CPT codes
Prepare adjustment and write off reports
Must understand "explanation of benefits" (EOB) reports from all payers
Knowledge of commercial based payer contracts
Knowledge of 837 billing and 835 remits
Understand workings of authorizations
Able to verify insurance benefits and calculate patient responsibility
Knowledge of Medicaid requirements ie: revenue codes/HIPAA codes.
Prepare daily census for facilities and send reports
Follow-up on Secondary Billings, co-pays and deductibles
Education: High school diploma or equivalent with 3+ years of direct medical billing experience, or Associate's Degree with 1+ years of direct Medical Billing experience.
Experience: Three to seven years experience in medical billing and collection
Computer Skills: Advanced MicroSoft Office skill set Mid-level fluent knowledge of Excel.
Excellent organizational skills with attention to detail
Excellent verbal and written skills
Able to work independently
Medical, dental, vision, and life insurance after 60 days
Company provided Short Term and Long Term Disability
Company provided AD&D insurance
Flexible Spending Program/Health Savings Account
401K after 60 days
Sequel Youth and Family Services is an Equal Opportunity Employer