Senior Billing Specialist – Lutheran Family Services of NE Inc. – Omaha, NE

Description:
Lutheran Family Services of NE is seeking a full time experienced Billing Specialist to review billing reports and claims to ensure compliance and accuracy, lead credentialing process for all agency providers, and provide cash management support.

Key Accountabilities:
Client Account Management

• Complete complex client account review
• Complete complex reporting requirements
• Complete complex monthly billing to payers
• Maintain communication with Manager regarding unresolved issues with insurance unapplied or credentialing issues
• Provide expertise and guidance to Billing Team

Credentialing

• Compile and maintain current and accurate data for all Behavioral Health Provider qualified by license or certification
• Complete provider and location credentialing and re-credentialing applications; monitors applications and follows-up as needed.
• Maintain copies of current credentialing documents for all providers
• Maintain knowledge of current health plans and credentialing requirements
• Maintain provider information in online databases
• Track license and certification expirations for all providers to ensure timely renewals

Revenue

• Prepare Daily Deposit for Billing Department
• Track daily EFT transactions and local office deposits and reconcile data with reports
• Work with Accounting personnel to resolve deposit discrepancies
• Enter and post all insurance payments to client accounts within two days of receipt to ensure timely payment application
• Distribute payment denial Explanation of Benefits to appropriate Billing Specialist
• Resolve unapplied from third party payments and submit refund requests.

Requirements:
Qualifications

• Associates Degree in Business or Healthcare Management or experience equivalent preferred
• 2-4 years’ experience in project management, healthcare management or billing preferred
• Knowledge in finance and budgeting