BILLING AND COMPLIANCE ASSISTANT

Job Summary:

Under the supervision of the Behavioral Health Office Manager, the Billing and Compliance Assistant is responsible for the accurate and timely billing of behavioral health services and ensures compliance with all federal, state, accreditation organizations, payer regulations, and internal policies related to the administrative functions of Gastineau Human Services. This position is eligible for remote work.

Supervisory Responsibilities:

• None

Illustrative Tasks:

1. Coding and Billing for behavioral health services:

• Verify the accuracy of required billing criteria in clinical documentation and submit insurance claims.
• Address claim denials.
• Verify weekly treatment hours ensuring that minimum hours have been met.
• Conduct monthly Medicaid/Insurance eligibility checks for all active clients.
• Prepare and distribute monthly billing statements.

1. Compliance:

• Input required data to meet grant and contract requirements.
• Ensure that outgoing records are compliant with all applicable federal and state statutes and regulations, including HIPAA and 42 CRF Part 2.
• Responsible for maintaining compliance with CARF accreditation standards within the administrative and records management functions of the Behavioral Health Department.
• Assist with internal audits to maintain Medicaid and accreditation compliance.

1. Behavioral Health Team Responsibilities:

• Participate in GHS emergency procedures during building or campus events: call 9-1-1and CRC (security) staff, cooperate with EMS and police, assist other staff members with building evacuation and emergency protocols, and document all incidents within 24 hours of finding out about an event.
• Participate in weekly team meetings and training as scheduled.
• Other duties as assigned.

Required Skills/Abilities:

• Ability to stay organized and prioritize tasks.
• Excellent attention to detail and accuracy.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to quickly learn the use of an electronic health record system.
• Knowledge of state and federal confidentiality statutes and regulations including HIPAA and 42 CFR Part 2.
• Proficiency with Microsoft Office programs.
• Ability to work independently and as part of a team.
• Ability to communicate and collaborate with coworkers from multiple departments.
• Excellent professional boundaries.

Education and Experience:

• High school graduate or equivalent required.
• Minimum of 2 years of office work (reception, administrative assistant, data entry/filing clerk, or equivalent) required.
• Behavioral health/medical coding and billing experience preferred.
• Experience working with Alaska Medicaid preferred.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must pass the Department of Corrections and Department of Health background checks.
• Must have a current, valid State of Alaska driver’s license or ID and be insurable by GHS’ auto insurance provider.
• Must pass a urinalysis drug screen upon hire.

At-Will Employment Policy Statement:

• Your employment with Gastineau Human Services Corporation is at will. This means your employment is for an indefinite period of time and it is subject to termination by you or Gastineau Human Services Corporation with or without cause, with or without notice, and at any time. Nothing in this policy or any other policy of Gastineau Human Services Corporation should be interpreted to be in conflict with or to eliminate or modify in any way the at-will employment status of Gastineau Human Services Corporation employees.
• The at-will employment status of an employee of Gastineau Human Services Corporation may be modified only in a written employment agreement with that employee which is signed by the Executive Director, or the Chairman of the Board of Directors, of Gastineau Human Services Corporation.