Billing Lead UKF-201
Pathways by Molina, previously Providence Human Services, is one of the largest national providers of accessible, outcome-based behavioral and mental health services. At Pathways, we deliver exceptional value by creating healthier communities through the work of exceptional people. Our more than 7,000 employees provide the highest-quality home- and community-based human services in 23 US states and the District of Columbia. Pathways by Molina is committed to creating the best possible work environment for our team members and offer a competitive compensation and benefits package including Medical, Dental, Vision, HSA, FSAs, vacation, sick, basic and optional life insurance, EAP, 401k (4% match for the 1st 4% contribution with immediate vesting) and an Employee Stock Purchase Plan. This position is responsible for overseeing data entry of accurate billing information and ensures claims are processed accurately in the Billing Department. DISTINGUISHING CHARACTERISTICS and REPORTING: The Billing Lead is an employee classification and of full-time status. The Billing Lead reports to the Billing Director or Assistant Billing Director. DUTIES/RESPONSIBILITIES: *Oversee the billing for their assigned states. *Supervision of Staff *Work closely with other departments and State Directors to resolve issues. *Answering calls from agencies regarding questions to billing *Calling regional managers with questions to the authorizations and billing and working with them to resolve any issues. *Approve billing before running claims. *Run process for producing claims. *Setup rates, services, payers and any other functions in the billing systems *Learn new programs for billing. *Support the Billing Director and Assistant Billing Director *Cover any billing Coordinator task when necessary. *Train staff on new tasks. *Utilize computer reports. *Attend meetings to work on issues and to obtain updated information. *Focus on Customer Service. *Any other duties as assigned. SPECIFIC KNOWLEDGE/SKILLS REQUIREMENTS: *Ability to multi-task in a fast paced environment in an organized manner with attention to detail and a high level of accuracy. *Ability to communicate verbally and in writing *Ability to manage tasks. *Strong Computer Skills: Excel, Word, PCMS, Avatar and Dynamics. *Knowledge of Behavioral, Mental or Medical billing preferred. QUALIFICATIONS: A minimum of a High School degree, equivalent or higher. And two years of experience in a related field required. Company Description: Pathways mission is to ensure the provision of accessible, effective, high quality community-based counseling and social services as an alternative to traditional institutional care. Pathways is dedicated to ensuring that all clients have access to professional community-based care, proven treatment methods and comprehensive service planning. Pathways offers a wide variety of programs across the country that share a primary commitment to provide care that builds on our clients strengths and addresses their unique, individual needs. Our primary services are varied, and we are continually creating new programs in response to identified needs of our clients in a particular area. The common thread is that we provide counseling and support services in home- and community-based settings and we emphasize the strengths and uniqueness of each youth and family. We do not own or operate any hospitals, residential treatment centers or group homes. All services are offered by trained therapists and paraprofessionals under the direct supervision of licensed clinicians. Pathways is dedicated to ensuring that all clients are offered services with proven methods that will accomplish their treatment goals. To meet this objective, Pathways regularly contracts with local universities and behavioral health professionals to conduct outcome studies of our clinical programs. Our objective is to ensure positive outcomes for our clients and to utilize these study results to further enhance our service lines.