What are the responsibilities and job description for the Billing Specialist position at Healing House Inc?
Job Summary: The Billing Specialist / Funding Specialist is responsible for accurate, timely, and compliant billing and reimbursement for Healing House services funded through a variety of public, private, contract-based, and grant-funded sources. These services may include outpatient treatment services, recovery support services, recovery housing, and other recovery-oriented programs. This position ensures billing activities are completed in accordance with documentation standards, contract requirements, and established billing and reporting deadlines, while supporting program operations, fiscal accountability, and participant understanding of funding.
General Accountabilities:
Collecting and auditing participants' files.
- Running services provided reports in the database to obtain detailed summaries.
- Determining available funding for programs.
- Creating monthly billing reports using data from the database.
- Maintaining files and records of billing.
- Managing the budget for services provided.
- Tracking assessment appointments.
- Calculating billing amounts for services.
- Coordinating with state funding services for vouchers.
- Creating housing and group logs.
- Adhering to all Department of Health standards.
- Coordinate with healthcare providers to ensure accurate coding of medical services and procedures.
- Maintain detailed records of coding and billing activities for auditing and reporting purposes.
- Utilize electronic health record systems to input and retrieve billing data efficiently.
- Review and verify insurance eligibility and coverage for participants.
- Communicate effectively with participants regarding billing inquiries and payment arrangements.
- Collaborate with finance department to reconcile accounts and resolve financial discrepancies.
- Prepare and analyze financial reports related to accounts receivable and billing performance.
- Assist in the preparation of financial forecasts and budgets related to billing and accounts receivable.
- Implement best practices for revenue cycle management to optimize cash flow and minimize revenue loss.
- Conduct training sessions for staff on coding updates, billing procedures, and compliance requirements.
- Support cross-functional teams in resolving billing-related issues and improving operational efficiencies.
Maintain compliance with HIPAA and other regulatory standards governing healthcare billing practices.
Skills/Job Qualifications
Job Qualifications:
Education: High School Diploma or equivalent; associate’s degree in accounting or related field preferred.
Experience: One to two years of related experience in billing and accounts receivable, preferably in a healthcare or non-profit setting.
Skills:
Proficiency in accounting software and databases.
- Strong organizational skills.
- Attention to detail and accuracy in data entry.
- Excellent verbal and written communication.
- Ability to manage multiple tasks and meet deadlines.
- Strong problem-solving skills.
- Knowledge of Department of Health standards and regulations.
Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
Physical Demands
Physical Stamina: The role may require prolonged periods of sitting, standing, walking, and being actively engaged with patients and employees during work and employee interactions.- Lifting and Carrying: There may be occasional requirements to lift or carry lightweight equipment or materials, such as tools or paperwork.
- Manual Dexterity: The position may involve tasks that require the use of hands and fingers, such as typing, writing, and handling materials.
- Visual and Auditory Acuity: The may need to closely observe patients and accurately interpret verbal and non-verbal cues during calls or interviews
- Mobility: The role may involve the ability to move freely within the facility to conduct interviews, attend meetings, and other office duties.
- Sensory Abilities: This position may require the ability to perceive and respond to environmental and situational factors that are relevant to patient interactions.