[Purpose:[The **HCS Billing Specialist is responsible for TMHP system billing and processing through proper data entry, problem solving, and documentation follow up in order to reduce billing errors and maximize revenue. [The position reports to the Director of Accounting and Finance, adheres to all policies, procedures, and standards of protocol of the Mary Lee Foundation and applicable outside agencies.
[Responsibilities[:
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Responsible for collection, accuracy, calculation of billable units and billing in TMHP system.
Review and resolve discrepancies between data in TMHP and EVV systems.
Training staff on use of software.
Work with employees and service providers to track down and make corrections to billing documentation in a timely manner.
Maintain documentation to support billing.
Review weekly billing issues and problem solve issues including denied billing.
Create and implement a billing tracking Excel spreadsheet to ensure all services are billed in TMHP to maximize revenue.
Overall responsibility to increase cash collection and lower deficits through billing procedures and accountability.
Stay current on Texas billing requirements specifically related to HCS.
Prepare monthly revenue reports.
Review for accuracy and enter data into TMHP including: IPCs and IDRCs.
Maintain a list of program due dates and email Director and Case Managers.
Researches issues in TMHP regarding Medicaid denials and work with appropriate staff to resolve.
Review MESAV service authorizations, units
and flag any services with low units for IPC revisions to be completed before the units run out.
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