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CFS Billing Liaison

Company: Seven Hills Foundation
Location: Cranston
Posted on: January 7, 2019

Job Description:

Overview CFS Billing Liaison is responsible for over-site of all billing entries, from CFS staff, into TIER and ePay. Will monitor entries through TIER reports and random audits of entries to ensure quality and timelines are followed. Will work directly with CFS staff on billing questions and assist Finance department to investigate issues with entries or insurance denials. Will support the administrative staff in CFS and Finance Department. Responsible for entering all Prior Authorization information to the State and then enter of PA codes into TIER. Responsibilities Identifies and resolves client billing issues. Works in conjunction with CFS staff and Finance staff to investigate claims issues. Enters Prior Authorization requests to the state. Follows up with state or 3rd party billing when authorization is not received. Essential to assist and prepare records for state or 3rd party billing audits. Review monthly TIER reports with Clinical Director to analyze problem areas within the department and find solutions to improve upon authorized billing techniques. Prepares reports as requested by Clinical Director. Works collaboratively with the finance department to ensure payment postings, and prepares TIER reports monthly to oversee and fix pending issues. All billing issues through TIER or ePay, that were entered by CFS staff, will be reported to this position and then investigated by billing liaison. Participates and reports during monthly CFS coordinator meetings. All other duties assigned by the Clinical Director, his/her superior or the designee of either party. Additional responsibilities: Complete and maintain all agency and state required trainings. May be required to attend 3rd party billing meetings. May be required to interact with 3rd party billing agencies to seek information on case funding/authorization. Comply with all HIPAA guidelines. Actively promote and positively role model philosophy, mission and core values of the organization. Basic knowledge of state regulations for HBTS, PASS and Respite services. Qualifications Minimum of Bachelor's Degree. Must possess proficient computer skills and the ability to navigate both CFS systems and Finance systems. Must be organized and have excellent multi-tasking skills. Good communication skills are essential. Basic knowledge of insurance/3rd party billing terms. Must be able to sit for extended periods of time. Must be able to lift 10-15 lbs on occasion. Need to be able to sit, push, pull, grasp, carry, speak, and listen. Physical requirements: Must be able to sit for extended periods of time. Must be able to lift 10-15 lbs on occasion. Need to be able to sit, push, pull, grasp, carry, speak, and listen. Company Description: Seven Hills Foundation provides exceptional integrated clinical, educational and community-based supports to children and adults with disabilities and significant life challenges. Our professional staff is passionate about our work that helps people SEE the possibilities, BELIEVE in themselves, and ACHIEVE their dreams.

Keywords: Seven Hills Foundation, Cranston , CFS Billing Liaison, Accounting, Auditing , Cranston, Rhode Island

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