New Directions Behavioral Health Payment Specialist in Kansas City, Missouri

Roles & Responsibilities:

This position will be dedicated to the EAP program. The Payment Specialist ensures timely entry and payment of EAP claims and researches claims payment inquiries. The position requires communication with providers, billing managers and internal staff.

Essential Functions

• Daily manual entry into computer of clean EAP claims, assuring accuracy and timeliness of EAP claims payment for all services rendered in patients’ account

• Complete weekly closing and balancing of EAP claims

• Communicate with providers regarding unclean and denied claims

• Works with Customer Service and Network Operations regarding EAP provider questions and claims payment issues, assuring timely research and resolution of questions and concerns and note resolution where appropriate

• Work with Account management, Care Management, Provider Relations and Finance staff regarding various file-specific inquiries and note resolution where appropriate

• Manage departmental correspondence and mail

• All other duties as assigned

• Adheres to New Directions Behavioral Health Mission Statement, Core Values, Code of Business Conduct and Compliance Program

• Complies with all Federal and applicable State laws and New Directions Behavioral Health policies regarding privacy, confidentiality and security of health information and other designated information

Education & Experience (Required)

• Associates Degree or 2-3 years of relevant experience

• Excellent oral and written communication skills and an ability to communicate effectively with all levels of the organization

• Excellent reasoning abilities and experience with coordinating projects

• Highly organized, quick learner, detail oriented

• Ability to work independently and as part of a productive team

• Ability to hand multiple and conflicting priorities

• Works with a professional demeanor under pressure

• Must be able to work with minimal supervision

• Proficient with Microsoft Office (Word, Excel, Power Point and Outlook)

Education & Experience (Preferred):

• Experience with EAP products

• Experience with claims payment

Key Attributes

• Excellent communication skills verbally and in writing

• Collaborative

• Flexible

• Must be detail-oriented

• Independent

• Responsible

• Self-disciplined

• Ability to meet defined performance and production

• Ability to effectively present information to employee at all levels of the organization

• Ability to think critically and apply information to improve processes

• Ability to manage time, prioritize and multi-task

Physical Demands (Constant):

• Must be able to remain in a stationary position

• Must be able to move about inside the office

• Must be able to communicate and exchange information with others

• Must be able to perform repetitive motion with arms and fingers

Mental Demands (Constant):

• Must be able to interpret data

• Must be able to problem solve

• Must be able to make decisions

• Must be able to organize and plan

Working Conditions / Equipment Use:

• Work is performed indoors in a typical office environment, not substantially exposed to adverse environmental conditions

• Frequent exposure to VDT screen

• Frequent use of office machines to include: telephone, copier, computer, fax machine and other general office equipment.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.

Qualifications