What are the responsibilities and job description for the Account Operations Specialist position at Highland Health Systems?
JOB TITLE: Accounts Operation Specialist
JOB CLASSIFICATION: Senior Support Staff
REPORTS TO: CEO
SUMMARY: The Accounts Operation Specialist is responsible for managing accounts payable, accounts receivable, and insurance/state billing functions in support of the organization’s financial operations. This role plays a key part in ensuring timely billing, accurate payment reconciliation, and compliance with payer requirements, including the Alabama Department of Mental Health (ADMH). The ideal candidate is detail-oriented and experienced in nonprofit healthcare billing and reconciliation processes.
EXAMPLES OF DUTIES AND RESPONSIBILITIES:
General Accounting procedures
Accounts Payable (AP):
- Review, verify, and process vendor invoices, purchase orders, and payment requests
- Schedule and process check runs and electronic payments
- Maintain vendor records and ensure timely resolution of discrepancies
- Reconcile monthly statements and assist with year-end 1099 reporting
- Records appropriate expense account allocations for invoices received and verified.
- Maintains filing system for both current year payables and previous year(s) payables invoices.
- Responsible for the storage and protection of consumer and employee records.
- Performs other duties as assigned or required.
Accounts Receivable (AR):
- Post incoming payments, including checks, EFTs, and remittance advices.
- Monitor accounts receivable aging and follow up on outstanding balances.
- Reconcile payments received with client records and general ledger accounts.
- Prepare AR-related reports.
- Performs other duties as assigned or required.
- Responsible for the storage and protections of records.
- Responsible for ensuring all claims are paid in a timely manner and EOP's are worked effectively.
Insurance and State Billing (including ADMH):
- Generate, review, and submit claims for services rendered to insurance providers and ADMH.
- Monitor claim status and resubmit/reconcile rejections or denials.
- Reconcile Explanation of Benefits (EOBs) and remittance advices to client accounts.
- Ensure payments received match submitted charges; resolve discrepancies in coordination with clinical and program staff.
- Maintain accurate billing records and comply with all state and payer requirements.
- Assist in audits and reviews related to grant or state funding.
General Support:
- Maintain accurate and organized financial documentation.
- Collaborate with clinical and administrative staff to resolve billing or charge-related issues.
- Support internal and external audits with requested documentation.
- Assist in improving billing and financial workflows.
- Participate in required staff meetings.
DESIRED KNOWLEDGE, SKILLS AND ABILITIES:
- Knowledge of office practices, procedures and equipment.
- Good communication and logic skills.
- Ability to make decisions in accordance with prescribed procedures.
- Ability to follow instructions.
- Working knowledge of Microsoft WORD and EXCEL.
6. Must demonstrate the ability to work well with staff and clients in a polite, respectful and dignified manner.
QUALIFICATIONS:
1. Degree in accounting, finance, business, or related field preferred.
2. Medical billing certificate preferred.
3. 2 years of experience in nonprofit or healthcare billing, AP/AR, or general accounting.
4. Knowledge of ADMH billing procedures and familiarity with payer portals or clearinghouses.
5. Strong reconciliation skills and attention to detail.
6. Proficiency in Microsoft Excel and accounting/billing software.
7. Knowledge of HIPAA and privacy regulations related to consumer billing.
8. Ability to manage multiple priorities and meet strict deadlines.
9. Strong communication skills and team-oriented approach.
Job Type: Full-time
Benefits:
- Dental insurance
- Health insurance
- On-the-job training
- Paid time off
- Referral program
- Vision insurance
Application Question(s):
- Do you have knowledge of ADMH billing procedures and familiarity with payer portals or clearinghouses?
- Ability to work in Anniston, AL as this is an in person position only?
Education:
- Bachelor's (Required)
Experience:
- General accounting, healthcare billing, or AP/AR: 2 years (Required)
Work Location: In person
Salary : $40,013 - $55,148