Skip to main content

This job has expired

You will need to login before you can apply for a job.

Credentialing Billing Administrator

Employer
Jewish Family and Career Services of Atlanta
Location
Atlanta, Georgia
Closing date
Oct 31, 2021

View more

Focus Areas
Human Services
Job Function
Administrative / Clerical
Position Type
Full Time
Degree Level
High School

Jewish Family & Career Services of Atlanta (JF&CS) offers best-in-class, person-centered programs and resources to transform lives. Building on our 125-year history, we are here to help individuals and families of all faiths live to their full potential. Guided by Jewish values, we are a welcoming community, and our experienced professionals bring integrity and compassion to their work in the fields of aging and older adults, career counseling, dentistry, mental health, intellectual and developmental disabilities, and need-based support services. We serve thousands of individuals annually regardless of age, race, religion, national origin or ability to pay.

JF&CS is now seeking a Credentialing Billing Administrator.

PURPOSE: The Credentialing Billing Administrator (CBA) is responsible for behavioral health claims, their accuracy and timely electronic submission through the practice management system. The CBA is also responsible for collections of outstanding claims and for maintaining accurate accounts receivable records in the organization’s practice management system. The CBA will coordinate initial provider staff privileges as well as provider credentialing and re-appointments for Clinical Services, and will work closely with HR, the clinicians, clinic management and staff to collect all items needed to obtain and maintain all payer participation.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Reviews and processes applications for provider privileges
  • Maintains various databases in support of the credentialing process; develops reports; and maintains, updates, and creates internal agency policies and procedures
  • Initiates and compiles information and applications to credential new providers and re-credential existing providers in a timely manner and before expiration deadlines
  • Secures and processes all applications for third-party billing provider status
  • Reviews and analyzes provider credentialing file for completeness, accuracy, issues and changes
  • Complies with HIPAA regulations
  • Responsible for collections of insurance and/or patient balances.
  • Reviews insurance, patient accounts and requests adjustments and/or refunds, as appropriate.
  • Audits data entered in the practice management system for accuracy, and report discrepancies to the appropriate management staff.
  • Responsible for monitoring the patient accounts receivable aging reports and using the reports to identify accounts requiring attention.
  • Responsible for staying current with information needed for accurate claims submission to Medicaid, Medicare, CHIP and other third-party payers.
  • Responsible for staying current with the rules and regulations for all payers and the updates or changes in state and federal regulations and notifying the appropriate health care services and management staff.
  • Appeals and/or resubmits denied or rejected insurance claims.
  • Responsible for maintaining the electronic claims submission software and running required reports.
  • Works to resolve billing department errors and issues and inform Finance of accounts receivable issues, and the potential effect the issues may have on the organization and reimbursements.

MINIMUM REQUIREMENTS:

  • Excellent customer service skills and superb organizational skills
  • A motivated self-starter who can work independently and who can also take direction appropriately
  • Able to work as a team member in a responsible, professional, and proactive manner
  • Strong verbal and written communication skills
  • Ability to manage multiple tasks
  • Proficient in Microsoft Office Suite
  • High integrity when dealing with a broad array of cultures, lifestyles, behaviors and spiritual practices
  • High integrity when dealing with restricted and/or confidential information
  • Exhibits excellent interpersonal skills and ability to work effectively and efficiently with healthcare professionals
  • Focuses on follow-up, follow through and achievement of all deadlines

EDUCATION and/or EXPERIENCE:

  • Experience Required: 2 + years of Credentialing or Privileging Experience
  • Education Required: High School Diploma or equivalent – Bachelor’s Degree preferred

How to Apply?

To apply, please follow this link to locate the full job description and application: Jobs @ JF&CS 

Where permitted by applicable law, an applicant must be fully vaccinated against COVID-19 by the date of hire to be considered for employment. JF&CS is an EEO employer and will engage in interactive dialogue regarding any accommodation requested based on medical or religious considerations.

Get job alerts

Create a job alert and receive personalized job recommendations straight to your inbox.

Create alert