Administrative Specialist - Medical Billing

JOB DESCRIPTION

POSITION TITLE: Administrative Specialist - Medical Billing

REPORTS TO: Administrative Director

POSITIONS SUPERVISED: None

FLSA STATUS: Non-exempt

SCHEDULE: Monday-Friday; 8:00am-4:00pm

PURPOSE: The Administrative Specialist’s primary responsibility is to provide clerical services with a focus on medical billing.

ORGANIZATIONAL LEVEL:
Director
Manager
Senior Staff
Staff

EDUCATION REQUIRED: High school diploma or equivalent

CREDENTIALS REQUIRED: None

PRODUCTIVITY REQUIREMENT: None

COMPETENCIES (KNOWLEDGE, SKILLS, AND EXPERIENCE):

• Ability to organize and prioritize assignments, multi task with accurate focus and refocus in a fast paced environment.
• Intermediate proficiency in computer programs, but not limited to, Google Docs, Google Sheets, and office specific programs.
• Hold as confidential all aspects of the job.
• Ability to deliver excellent customer service, externally and internally.
• Ability to define and solve problems, collect data, accurately enter data; establish facts, draw valid conclusions using judgment, and analytical skills.
• Ability to communicate effectively with internal and external customers, both orally and writing
• Ability to provide exemplary customer service including the ability to work effectively with customers who may be upset, distraught, irate, emotionally or mentally or otherwise unable to function within a reasonable range of constructive behaviors.

• Ability to work independently, under pressure, and to set and achieve goals.
• Knowledge of and the ability to adhere to applicable company and departmental policies and procedures.
• Proficient in grammar, writing, mathematical skills, spelling, and punctuation.
• Proficient with attention to detail.
• Ability to receive constructive feedback and implement corrections.
• Ability to organize and maintain large volumes of information and paperwork.
• Thorough knowledge and adherence to follow safety policies, procedures and practices.
• Follow the guidelines, coaching, and directives provided by management to ensure consistent application of agency protocols.
• Ability to follow, read, understand, and abide by all company policy and procedures.
• Ability to follow state, federal, and local law, and all other policies and procedures that do not fall under the listed responsibilities within this document.
• Demonstrated punctuality, timely completion of documentation, and the ability to meet productivity demands.
• Ability to work collaboratively within a treatment team.
• Positive attitude, an ability to solve problems effectively.
• Skills to manage multiple tasks and organize workload.

POSITION ROLES, DUTIES AND RESPONSIBILITIES:

Quality and Accountability

• Provides general administrative and clerical support with a focus on medical billing.
• Performs data entry with accuracy.
• Performs quality/correctness audit of billing batches.
• Attends meetings, staff development, education and trainings as necessary.
• Maintains a neat, clean, and organized office space.

Communication

• Coordinates communication within organization.
• Professionally communicates with internal and external customers.
• Greets incoming clients (via phone or in person).
• Answers phone and directs calls.
• Interacts with payers to troubleshoot denied claims, etc.
• Initiates communication with supervisor as needed.

Job Knowledge & Problem Solving

• Applies critical thinking and uses sound judgment effectively to perform job tasks.
• Completes weekly batch billing to insurance company and Medicaid.
• Post payments received.
• Troubleshoots billing issues.
• Updates and monitors client ECR system; makes eligibility calls to insurance company and provides follow up and assistance with families.
• Performs monthly Medicaid eligibility checks.
• Assist in the credentialing process.
• Processes paperwork for clients efficiently and in accordance with protocols.
• Maintains and updates department or company spreadsheets.
• Processes paperwork efficiently and in accordance with protocols.
• Prepares emails, letters, documents, reports, etc.

Compliance

• Maintains files according to regulatory agencies.
• Follows all company and department policy and procedures.
• Performs data analysis as requested.
• Performs audits of billing data to ensure compliance with payer requirements
• Maintains client confidentiality of protected information during employment and post-employment.
• Follows state, federal, and local law, and all other policies and procedures that do not fall under the above responsibilities.
• Follows all other policies and procedures that do not fall under the above responsibilities.

Teamwork & Cooperation

• Suggests and implements improvements to administrative functions.
• Receives and works toward goals developed in collaboration with supervisor.
• Demonstrates reliable and predictable attendance and punctuality; does not negatively impact the client, department or co-workers.
• Performs any other reasonable duties as required.

PHYSICAL EFFORT AND WORK ENVIRONMENT
Physical Requirements: The physical requirements of the position are identified as moderate physical activity which may require the lifting of up to twenty (20) pounds occasionally.

Physical Activity: Individual performs the following physical activities: manual dexterity, climbing, balancing, stooping, kneeling, crouching, reaching, lifting, grasping, feeling, talking, hearing and moving around.

Visual Activity: Individual performs work where objects being viewed and interactions with others are both close to the eyes and beyond arms reach.

Job Location: Individual primarily works inside and is not exposed to adverse environmental conditions.

Contact with Others: Individual has contact with co-workers, employees, clients, and other stakeholders.

DISCLAIMER AND APPROVALS: The Company has the right to change an employee's job duties or request employees perform duties not listed.

Rev 8/2023

Job Type: Full-time

Pay: $20.00 - $24.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $20 - $24