Job Title: Payer Relationship Specialist
Reports To: Revenue Cycle Manager

Northpoint is a growing organization dedicated to providing a safe, therapeutic environment where those struggling with addiction can build a foundation for their recovery and gain a clear vision of hope. Northpoint provides a unique setting that provides affordable and effective alcohol and drug addiction treatment, with facilities located in Idaho, Washington, Colorado, and Nebraska. Organizational values include humility, heart, inspiration and conviction. Our commitment to excellence means doing good for others and engaging in innovative empirical based treatment. In short, our mission is to help people get their lives back and show them respect and empathy in the process.

POSITION SUMMARY: As a key member of the Billing team, this person is responsible for fulfilling the role of the insurance billing life cycle of a patient. The ideal candidate will have a strong understanding of the entire billing life cycle of a patient, to include verifications, pre-authorization, utilization review, appeals, claims submission, claims adjudication, and denials. The Payer Relationship Specialist will be responsible for working with the Billing team and assigned payers to ensure timely billing and payment.

ESSENTIAL RESPONSIBILITIES AND DUTIES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING:

• Completes verification of benefits for potential patients
• Reviews refund requests from insurance companies
• Files appeals and resubmit claims as needed
• Denial management
• Collaborates with patient responsibility account specialists as necessary
• Adhere to HIPAA guidelines
• Supports and promotes Northpoint’s philosophy and Company mission
• Performs other related duties and special projects as assigned

QUALIFICATIONS FOR POSITION:

• Minimum 2 years’ experience in medical billing and payer relations
• 1-2 years of commercial medical insurance billing experience
• Strong understanding of commercial health insurance and claims submission
• Strong organizational and interpersonal skills
• Familiarity with major payer guidelines
• Exhibits an understanding of CPT and ICD-10 coding regulations and guidelines
• Experience with technical aspects of electronic medical billing

PREFERRED KNOWLEDGE AND SKILLS:

• Excellent organizational abilities
• Excellent communication skills; ability to communicate clearly and concisely, verbally and in writing
• Quickly and effectively identify and resolve problematic situations
• Comfortable analyzing information and dealing with complexity
• Attention to detail and accuracy
• Able to handle confidential material in a reliable manner
• Ability to interact and communicate with individuals at all levels of organization
• Ability to perform several tasks concurrently with ease and professionalism
• Ability to effectively prioritize workload in a fast-paced environment
• Proficiency with Microsoft Office Suite

SUPERVISORY RESPONSIBILITIES:

• None

PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Job performed at a desk in front of a computer
• Requires heavy use of mouse and keyboard
• Indoor office environment
• Exposure to emtionally impaired patients/clients is possible, though this position is not located in a treatment facility setting, and patient/client interaction will be infrequent

CONDITIONS OF EMPLOYMENT:

• Completion of a tuberculin screening during first week of employment
• Completion of a pre-employment drug screening, post-accident and random for upon reasonable suspicion of use
• Completion of orientation and required paperwork prior to reporting to work
• Demonstrated computer literacy
• Attendance at all mandatory staff development and training
• Completion of background and reference checks
• Must be fully vaccinated for COVID-19

This job description is not intended, and should not be construed, to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with this job. It is meant to be an accurate reflection of the principal job elements essential for making fair pay decisions about the job.

Employees with potential access to protected health information must comply with all procedures and guidelines governed by HIPAA.

Northpoint is an Equal Opportunity Employer. Northpoint is an At-Will employer. Employment may be terminated at any time by employee, or employer with or without notice.

Job Type: Full-time

Please Note :
bankofmontserrat.ms is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, bankofmontserrat.ms provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.