What are the responsibilities and job description for the Senior Administrative Specialist (Billing) position at Rockingham County Government?
Rockingham County is an equal opportunity employer and will comply with federal and state statutes regarding discrimination in employment.
This posting is continuous and will remain posted to fill vacancies as they become available. Applicants that apply to this posting will be considered for any vacancies of this type and will only need to apply once.- Paid Medical, Dental, Vision & Life Insurance
- Onsite wellness/medical clinic
- Onsite fitness center
- Retirement
- Flexible Spending
- Paid Vacation, Sick & Holidays
- Bereavement
- Community Service Leave
- Weekends Off (varies by position)
- Flexible Work Schedules & Telework Options (varies by position)
- Tuition Reimbursement
- 401-K & 457 Plans with county match up to 1% of base salary
General Definition of Work
This role requires comprehensive knowledge of billing methodologies and revenue collection procedures for Medicaid, Medicare, private insurance, and private pay programs. This position is responsible for coordinating billing operations across all departmental programs. The role includes preparing, submitting, and monitoring Medicaid, Medicare, and third-party insurance claims in compliance with applicable regulations and guidelines. The position assists the Family Care Coordination Processing Assistant IV by ensuring that MCC and CSC billing is entered in a timely manner each month in order to maximize Medicaid reimbursement. Additional responsibilities include maintaining accurate records of Non-Sufficient Fund checks and ensuring appropriate follow-up procedures. The work requires applying knowledge of departmental policies, program requirements, and information systems to facilitate accurate communication and processing of billing information. Duties are carried out through tasks that involve multiple, detailed steps and require sound judgment in determining the most appropriate actions within procedural and operational guidelines. Work is performed under the limited supervision of the assigned supervisor.
Qualification Requirements
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions.
DUTIES AND RESPONSIBILITIES
- Accounts Receivable, Denial Reports, RA Reports and all other reports as necessary from the programs used to maintain the records of the Rockingham
- County Department of Health and Human Services or as required by management or the state.
- Contact involves relating information to the health director, accounting specialist, nursing director, nursing staff, clinical support staff, management support staff, other health departments, department of social services, hospital staff, physician's offices, and departmental clients. Receives, sorts, processes and distributes incoming and outgoing mail
- Operates a variety of standard office equipment; performs light maintenance on photocopy and scanning equipment
- Greets visitors, citizens and customers; answers telephone; provides information; forwards calls to appropriate party; assists the public with the completion of records, applications, etc.; directs visitors to appropriate party
- Responsible for checking the accuracy of encounter forms that have been entered into the system for billing for all programs of the Rockingham County Department of Health and Human Services, Public Health Division. This process includes verifying data entry accuracy, client’s financial obligation, and verifying name and identification number for all insurance plans including Medicaid, Medicare, and third-party carriers.
- Works closely with the Accounting Specialist on administrative, programmatic, accounts receivable and miscellaneous projects. This position is also responsible for submitting an authorization for any refunds to Medicaid, Medicare, Private Insurance, or clients.
- This position is in contact often with employees of the area hospitals and doctor’s offices regarding any type of billing questions that they may have regarding the department’s county funded patients.
- Cross trained to provide back-up and/or assistance to Vital Records, and/or other essential department functions, such as collecting & distributing mail, receiving deliveries, collecting hours worked to support department payroll.
- Performs other duties as assigned or requested
Received: Supervision on site, very direct and specific
Supervision Given: Does not supervise others.
INTERPERSONAL CONTACTGreeting visitors, asking specific questions, must be cordial and pleasant. Additional public contact with Board members, vendors, and representatives of various county departments.
RECRUITMENT STANDARDS:Core Competencies:
- Communication-Verbal - Communicates routine and general information to staff, clients, and/or public about standard services, processes, and procedures using prescribed or established guidelines. Screens and directs clients /visitors to appropriate sources.
- Utilizes program specific terminology.
- Gather readily available information from office records to drafts, e-mails, memos, and other documents.
- Proofreads documents for grammar, spelling, punctuation, and basic formatting. Provides answers to requests for general information in written format. Records and documents information accurately.
- Office Technology - Uses a variety of office equipment information systems (e.g., telephone, computer with standard software, fax, copier, etc.) to access, input, and verify standard information. Operates and performs tasks to maintain equipment with a general understanding of its capabilities.
- Knowledge-Program - Understands general operation of functional unit, to include knowledge of staff and program responsibilities. Applies knowledge or reference material necessary to provide answers to “frequently asked questions.” Uses general knowledge of program procedures, methods, and practices to refer clients to resources.
- Information/Records Administration - Uses established filing and data systems, functions, and/or procedures. Reviews data and information for completeness and accuracy using standard guidelines.
Knowledges, Skills, and Abilities:
- Ability to convey information and ideas through a variety of media to individuals or groups; ability to adjust language or terminology to meet needs of the recipient(s).
- Ability to present ideas in written form; ability to adjust language or terminology to meet needs of the recipient(s); ability to use correct grammar, organization, and structure.
- Ability to utilize office equipment and other relevant technology (software, and systems) to meet work needs.
- Ability to understand issues, identify problems and opportunities to determine the appropriate course of action.
- Ability to demonstrate an understanding and awareness of program services, policies, and procedures; ability to demonstrate and apply this knowledge in performance of office support tasks; ability to explain and interpret program information to clients/customers and staff.
- Ability to demonstrate an understanding and awareness of program services, policies, and procedures; ability to demonstrate and apply this knowledge in performance of office support tasks; ability to explain and interpret program information to clients/customers and staff.
- Ability to apply knowledge of data collection and storage to compile, assimilate, and organize printed and electronic information.
- Problem Solving - Ability to understand issues, identify problems and opportunities to determine the appropriate course of action.
- Information/Records Administration - Ability to apply knowledge of data collection and storage to compile, assimilate, and organize printed and electronic information.
Balancing - Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium
Stooping - Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles
Crouching - Bending the body downward and forward by bending legs and spine
Reaching - Extending hand(s) and arm(s) in any direction
Standing - Remaining upright on the feet, particularly for sustained periods of time
Walking - Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another
Pushing - Using upper extremities to press against something with steady force to thrust forward, downward, or outward
Pulling - Using upper extremities to exert force to draw, drag, haul or tug objects in a sustained motion
Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles
Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with whole hand or arm as in handling
Grasping - Applying pressure to an object with the fingers and palm
Feeling - Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips
Talking - Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly
Hearing - Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communications, and making fine discriminations in sound
Repetitive Motions- Making substantial movements (motions) of the wrists, hands and/or fingers
Physical Requirements
Light Work- Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that of Sedentary Work and the worker sits most of the time, the job is rated for Light Work
- Employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts and/or operation of machines
- Employee is required to have visual acuity to determine the accuracy, neatness and thoroughness of the work assigned (i.e., custodial, food services, general labor, etc.) or to make general observations of facilities or structures (i.e., security guard, inspection, etc.)
- Employee is subject to inside environmental conditions: Protection from weather conditions
- Employee is exposed to infectious diseases (potentially)
Minimum Education and Experience:
High school diploma or GED with coursework in business administration, administrative support, or related field and moderate experience in administrative support and office operations, or equivalent combination of education and experience.
Preferred, Not Required
Three years in medical billing and/or coding, AND certification in one of the following: Certified Professional Biller (CPB), Certified Professional Coder (CPC), Certified Professional Biller (CPB), Billing Coding Specialist Certification (BCSC), or Certified Reimbursement Specialist (CMRS).
License or Certification Requirements:
May require specific certifications and/or licenses depending upon departmental assignment.
May require specific trainings depending upon departmental assignment.
Valid driver's license in the State of North Carolina.
Note: In accordance with State mandates and the Rockingham County Emergency Operations Plan, Rockingham County Health and Human Services staff from the Divisions of Social Services, Public Health and Integrated Health are required to staff emergency shelters during times of disaster. Please be advised that every staff person is eligible to be assigned to an emergency shelter or Emergency Operations Center.
Salary : $40,395
