Central Intake Specialist

Responsibilities

• Draft invoice batches for each location and review for missing information and corrections related to:
  • Rates
  • Billing codes
  • Diagnosis ID numbers
  • Authorization
  • Doctor orders
• Verify invoices with missing authorization codes have valid authorization.
• Create spreadsheets for missing authorization or information, then submit to the appropriate person at each location.
• Finalize invoices that do not have any discrepancies.
• Export non-AHCCS invoices and submit AHCCS invoices to a 3rd party for review.
• Enter required invoices into the Texas Medicaid portal.
• Print paper invoices.
• Create an unbilled billable report with explanations for each unbilled invoice.
• Check the Emdeon website weekly to ensure all submitted claims are being processed.
• Document all conversations and billing transactions in the management system.
• Recognize and analyze billing and collections problems.
• Communicate effectively with staff and management.
• Appropriately perform all other duties assigned by the Finance Manager or Director of Finance.
• Support and execute the mission, ethics, and goals of the company effectively.
• Represent the company in a positive and professional manner in the community.
• Adhere to the dress code with a clean and neat professional appearance.
• Report on time and as scheduled to complete work within designated timeframes.
• Adhere to all company policies and procedures outlined in the Employee Handbook, Employee Agreement, or communicated from the executive team.

Requirements

• Knowledge of billing and collections procedures.
• Strong attention to detail and goal-oriented.
• Excellent written and verbal communication abilities.
• Maintain strict confidentiality; adhering to all HIPAA guidelines and regulations.
• Must live in North Carolina or Tennessee.
• Must have NC and TN Medicaid experience.