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Billing Specialist - Administration - Springfield

HCRS
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Job Details

Description

 

Position Purpose:

Processes agency timesheets, payments, billings, open credits, discounts and account write offs. Represents the Finance Department at various agency meetings where accounts receivable or billing is the topic.

 

Principal Responsibilities and Duties:

  • Process client payments
  • Process write-off accounts as requested by the COO, the CFO, or Program Directors.
  • Process specialized grant billings
  • Process discount reports for special grant/non-reimbursed 3rd party insurance programs: ie: School Funding, Town Funding, and Community Initiative Funds.
  • Maintains the integrity of the Account Receivable Aging.
  • Assists other Billing Specialists with daily routine issues.
  • Assists Area Office Managers with routine billing issues.
  • Represents Billing at the EMR Implementation meetings when needed.
  • Represents Billing at the Administrative Support Team meetings when needed.
  • Represents HCRS at statewide DA or State of Vermont Billing meetings when needed.
  • Informs the Controller or the Accounting Manager of any billing/payments issues needing further attention.
  • Process Medicaid payments, denials, and recoups.
  • Process 270/271 Medicaid reports for offices to make changes to client insurances
  • Process billings for Bridges, Choices for Care, TBI, JOBS, PBIS, PBISN, ACCS, and special billings.
  • Perform/support the credentialing function as required. 

 

Key Knowledge, Skills and Abilities to successfully perform this job:

  • The ability to maintain accurate, timely financial data within accepted accounting procedures, and to prepare accurate reports on such data within established time frames.
  • Through the continuous improvement of departmental systems, helping lead the agency to an increased efficiency and higher levels of employee/client service.
  • Acts in accordance with all agency policies.
  • Meeting or exceeding productivity standards and time and records documentation standards.
  • Communicates necessary information to upper level management
  • Meets assigned objectives within the established time frame.
  • Demonstrates the ability to be creative in developing systems that respond to agency needs.
  • Ability to report data accurately and timely.
  • Demonstrated ability to take care of oneself, and to stay calm, patient and self-confident amidst numerous potentially stressful situations, maintaining stable non-volatile atmosphere.
  • Modeling appropriate attitudes and behavior, particularly a positive outlook, emotional stability, insight and compassion.
  • Demonstrates the pursuit of personal and professional growth and development.

 

 

 

Relationships:

  • Supervised by the Controller.
  • Works directly with other members of the Finance Department. It is essential that this relationship be cooperative and collaborative to meet the needs of the agency.
  • The Billing Specialist may have regular contact with members of executive level management (especially the CFO and the COO), the management team, Program Directors, Program Coordinators and employees. It is essential that these relationships be cooperative and collaborative in meeting program and employee needs within established guidelines.
  • A range of external relationships with other Human Service Agencies Billing Department staff are also critical to this position.

 

 

 

Qualification Statements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

EDUCATION and/or EXPERIENCE:

High School Diploma with additional training in Human Service Billing Function.

5 years’ experience in a similar setting.

 

LANGUAGE SKILLS:

Ability to read, analyze, and interpret the most complex documents. Ability to listen effectively. Ability to respond effectively to the most sensitive inquiries or complaints. Ability to make effective and persuasive presentations to employees, members of the public, vendors and funding sources.

 

MATHEMATICAL SKILLS:

Ability to understand auditing and accounting issues.

 

REASONING ABILITY:

Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Ability to deal with non-verbal symbolism (formulae, scientific equations, graphs, etc.). Ability to deal with a variety of abstract and concrete variables.

 

OTHER CERTIFICATES, LICENSES, REGISTRATIONS:

A valid driver’s license or the ability to travel quickly from location to location.

 

OTHER SKILLS and ABILITIES:

  • Strong computer literacy
  • Good Telephone Skills
  • Familiarity with the financial issues of treatment programs, the regulatory environment of community mental health agencies, and the changing world of health insurance from previous experience are desirable.
  • Knowledge of Microsoft Office ProductsAbility to maintain a high level of confidentiality.

 

PHYSICAL DEMANDS:   Working Conditions and Additional Information:

  • The employee may occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
  • While performing the duties of this job, the employee is regularly required to sit, walk, stand, talk and hear, and to use hands to finger, handle, or feel paper, reports and office objects, operate a computer or other keyboard device for long periods.
  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
  • Good organizational skills

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The work is usually done in an office setting. The noise level is quiet to moderate.

 

NOTE:

The above duties or working procedures describe the chief functions of the job. They are not considered a detailed description of every duty of the job. The job description is intended to be dynamic in nature, subject to addition or deletion as required by programmatic changes and consumer needs.