About this role
Position Summary
Perform all billing functions necessary to support reimbursement activities. Duties to include any or all of the following: timely billing and invoicing of services; timely posting of remittances; identification and resolution of denied and partially paid claims; support or coordination of the authorization process. This position requires strong computer skills with a focus on computerized billing systems and accurate data entry. Attention to funding source requirements, timeliness, and dependability are required.
Responsibilities
• Support/Service Delivery
• Coordinate or support the authorization process as needed.
• Provide Director of Accounting and Finance with open-balance reports at a frequency to be determined by the Director.
• Identify needed actions needed for payment of open claims.
• Book services in the billing system as soon as possible after operational staff enters and approves notes.
• Post electronic and manual remittances in the billing system within 5 days.
• Special projects as assigned.
• Quality Improvement
• Review remittance advice for rejections and notify program staff for necessary corrections.
• Communication
• Work in collaboration with other accounting/finance personnel and with the director to identify ways in which claims can be processed more efficiently and paid sooner.
• Communicate with funding source contacts to develop relationships that support the organization's ability to be paid for services provided.
• Establishes and maintains appropriate rapport with all clients, families, and colleagues inside and outside of the organization.
• Completes online learning and policy acknowledgements by due date.
• Supervision
• Receives supervision.
• Receives supervision from and actively communicate with director on an ongoing basis throughout the week by phone, email, written message and when possible, in person regarding program matters.
• Documentation
• Maintain complete, accurate, and orderly files.
• Maintain security of all client records according to HIPPA standards.
• Finance/Budget
• Generate invoices, electronically, and submit to funding sources timely.
• Prior to processing billing runs, generate reports to identify services with potential billing issues and notify programs of necessary corrections.
• Reports expenses and provides supporting documentation.
• Rebill all denied or partially paid services within 7 days.
• Adheres to deadlines for expense reports.
• Risk Management and Safety
• Complies and adheres to the professional and ethical standards of conduct established by the organization.
• Attends and participates in all required trainings.
Qualifications
• Education/Credentials/Licensure:
• Requires a high school diploma or equivalent required.
• Associate degree in accounting or specialized medical coding coursework preferred.
• Requires a vValid state driver's license and safe driving record.
• Requires reliable transportation and current auto insurance.
• Experience:
• Requires three (3) years of experience in billing related functions.
• Clearances:
• DPS
• DFPS
• FBI
• CBCU Eligibility Determination
• Child Abuse Clearances
Working Conditions
• Physical Demands
• This position requires operating a keypad device 75% of the day and electronic/office equipment 25% of the day. Travel is required approximately 5 times per month along with travel by plane and works in weather conditions about 25% of the day. Fingers, thumbs, hands, wrists, elbows, legs and feet are all routinely used throughout the day. The lower and upper torso is used 75% of the day. Employee must meet minimum requirements for hearing, speech, and vision. Walking is required 10% of the day. Standing occurs 10% of the day. Sitting happens 80% of the day. Reaching above the shoulder as well as bending and twisting are performed 25% of the day. This function routinely lifts 15 pounds, 4 times per day. The maximum lift is 50 pounds, 1 time per day. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
• Mental Demands
• Occasionally performs multiple tasks and makes quick decisions.
• Continually need to concentrate.
• Occasionally handles distractions and a diversity of problems.
• Environmental Factors
• Environmental factors require this position in home and office.
• Working Hours
• Traditional office hours with flexibility to meet department needs.