Job Description:

POSITION DESCRIPTION

I. Position: Accounts Receivable / Billing Specialist

II. Status: Full time, Salaried

III. Reports to: CFO

IV. Position Summary: Responsible for the PAS bi-weekly billing and receivable process, including detailed work in denials, unpaid or improperly paid claims, and appeals to obtain maximum reimbursement. Responsible for the filing of claims and electronic clearinghouse processes. Responsible for prioritizing, scheduling, delegating and directly supervising the billing staff to ensure accurate and timely billing

V. Position Expected Hours of Work: This is a Full-Time, Salaried position. At minimum, days and hours of work are Monday through Friday, 8:00 am to 4:30 pm. However, there may be some variability in the weekly schedule due to agency need. Occasional evenings and weekends. Staff is expected to be able to work in the office, remotely, or a hybrid of both, during regular business hours.

VI. Essential Functions of the Position: 

1. Responsible for the direct supervision of the Billing Team, including annual reviews, disciplinary actions, and day-to-day documentation.
2. Assures the complete, accurate, and timely processing of PAS Billing on a bi-weekly basis especially the creation of all PAS billings using billing software, clearinghouses, electronic portals and paper billing (if needed) to complete the billing for each payroll cycle.
3. Supervises data quality, validation, and maintenance of the Electronic Visit Verification database related to billing.
4. Work collaboratively with the PAS department to ensure all claims are submitted with a goal of zero errors. This includes verifying accuracy of all claims prior to submission through Clearinghouse and accurately posting all insurance payments by line item.
5. Responsible for communication with billing sources, clearinghouses, and the PAS department to problem solve issues as well as expedite claims management. In addition, responsible for the quarterly creation of a write-off report for aged receivables.
6. Maintain an on-going knowledge of payor requirements as well as applicable contracts, regulations, and laws. Establish and maintain effective working relationships with carrier representatives.

1. Works in collaboration with Accounting Management to develop, implement, maintain, and evaluate billing policies, procedures, and practices.
2. Works in collaboration with Accounting Management to develop and implement systems that make the Billing department more efficient; as well as assist with personnel development, quality assurance, and program evaluation.
3. Attends conferences, seminars, and meetings regarding issues related to Billing and Supervision as needed and required.
4. Proactively advocate for the rights and involvement of individuals with disabilities; provide advocacy and support for the Independent Living Philosophy and assist with Billing Staff allocation in this area.
5. As a member of the agency’s management team, will attend fundraising and other special events as requested and will interact with members of the board of directors.
6. Plays an active role in the leadership and overall morale of the accounting department, and is responsible for a variety of tasks associated with the operation of the accounting department and Independence First as a whole. Performs managerial responsibilities including but not limited to: training, mentoring, coaching and developing colleagues; interviewing, hiring, planning, assigning and directing work.

VII. Work Environment

1. Work environment is generally performed in an office setting with minimal to moderate noise level.
2. 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.

Disclaimer:

The above statements reflect the general details necessary to describe the principle functions of the occupation described and shall not be construed as a detailed description of all the work requirements that may be inherent in the occupation.