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Why You'll Love This Job
PRIMARY JOB RESPONSIBILITIES
- Creates, monitors, and updates student and payer files in various billing systems.
- Prepares and generates insurance claims in accordance with documentation and timely filing guidelines.
- Monitors school attendance and other school calendar events for accurate billing scenarios.
- Works closely with school personnel to generate accurate invoice for services provided.
- Submits invoices and follows-up with payers (school districts, localities, insurance companies, other sources) on outstanding balances to ensure timely and accurate reimbursement.
- Researches and resolves denials, credit balances, refunds, and payer retractions.
- Responsible for regular reporting of school and insurance statistics and exceptions.
- Assists with month-end close by gathering necessary data and producing needed reports.
- Accountable for individual performance, quality, and productivity.
- Ensures customer satisfaction through building healthy internal and external customer relationships.
- Solution-oriented team member who is a self-starter, takes initiative, and thoroughly documents all needed follow-up.
KNOWLEDGE, SKILLS AND ABILITIES
- Knows, understands, incorporates, and demonstrates the New Story School Mission, Vision, and Values in behaviors, practices, and decisions.
- Demonstrates an ability to troubleshoot, report to management, and/or initiate resolution of all issues that occur regarding billing operations.
- Prepares special reports reflecting internal metrics, as needed.
- Participates in educational activities and attends staff meetings.
- Completes prompt, professional follow-up to all interactions and requests for information, both internally and externally.
- Monitors and adheres to applicable Federal, State, and local laws and regulations, including HIPAA requirements, New Story School’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures.
- Manages all data requests pertaining to designated schools, school programs, and clinics.
- Performs other duties as assigned/necessary.
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