Job Description

  1. Processes manual and electronic billing for Medicaid/HMO, private and contractual funding sources.
  2. Process and ensures there is an active Prior Authorization for services when applicable.
  3. Processes billing with procedure code for service, service date, amount, and diagnostic code.
  4. Pulls charts when required.
  5. Documents services rendered when required (writing).
  6. Follows confidentiality laws (HIPPA).
  7. Follows The Centers policies and procedures.
  8. Reconcile billing in Lauris database system

Skills / Requirements

Minimum High School diploma or equivalent.

Experience in billing & reconciliation, coding, mental health HMO's PREFERRED.

Bilingual English/Spanish REQUIRED