Description
Job Summary:
Mental Health IPS seeks a Billing and Filing Assistant to support healthcare service billing and filing processes, ensuring proper review, organization, and management of accounts.
Key Highlights:
1. Support key billing and claims submission processes for healthcare services.
2. Ensure proper review, organization, and management of accounts.
3. On-site work in a healthcare environment.
**VACANCY: BILLING AND CLAIMS SUBMISSION ASSISTANT**
**Mental Health IPS** is seeking a **Billing and Claims Submission Assistant** to support healthcare service billing and claims submission processes, ensuring proper review, organization, and management of accounts.
**Billing**
* Perform **pre-billing settlement for the IPS’s various programs**.
* Review and validate services actually rendered prior to invoice generation.
* Verify that recorded services correspond to actual care provided.
* Validate patient data, responsible payer entity, services, quantities, rates, and other information required for billing.
* Review authorizations, service orders, and other required supporting documents.
* Generate and organize invoices according to established procedures.
* Identify and promptly report inconsistencies or anomalies encountered during the process.
* Reconcile rendered services against information recorded in institutional systems.
* Verify that each account contains all required supporting documents before proceeding to the claims submission stage.
Claims Submission
* Perform **organization, review, and submission of healthcare service accounts to EPS and other responsible payer entities**.
* Prepare accounts according to requirements set by each entity.
* Verify that invoices contain all necessary supporting documents for proper claims submission.
* Submit accounts within the **established timeframes**.
* Track the status of submitted accounts.
* Maintain updated records of billed and submitted accounts.
* Identify pending accounts for submission and carry out necessary actions for timely processing.
* Review and manage anomalies arising during the claims submission process.
* Support tracking of **rejections, claim adjustments (glosses), and non-submitted accounts**, reporting promptly to coordination.
* Maintain organized supporting documents and evidence related to submissions performed.
* Support reconciliation of information among billed, submitted, and pending accounts. **Documentary and Administrative Management**
* Organize and maintain up-to-date physical and digital files related to billing and claims submission.
* Track pending or missing documents.
* Ensure traceability of accounts from **billing through claims submission**.
* Develop and update internal databases and process controls.
* Handle patient and institutional information responsibly and confidentially.
* Comply with procedures, policies, and guidelines established by Mental Health IPS.
* Promptly report any situation that may affect billing, claims submission, or accounts receivable recovery.
* Perform other duties related to the position as assigned by coordination.
**Requirements**
* Technical or technological degree in **Health Administration, Health Billing, Administrative Assistant**, or related fields.
* **Minimum 1 year of experience in IPS, specifically in healthcare service billing and claims submission.**
* Knowledge of pre-billing settlement, medical accounts, and supporting document management.
* Proficiency in **Excel and office productivity tools**.
* Organized, responsible, proactive individual with attention to detail.
**We Offer**
**Honorarium: $2\.600\.000 – OPS**
**Location:** Calle 80 \# 116 B\-35
**Modality:** On-site
**If you have experience in healthcare service billing and claims submission within an IPS, we invite you to apply and join our team.**
Workplace: On-site employment