Billing Specialist (full-time)

POSITION TITLE: Billing Specialist (Full-time)

REPORTS TO: Controller

SUMMARY: The Billing Specialist is primarily responsible for the Medicaid and Private

pay billing process for the Lifeline Program and secondarily responsible for

assisting the Payroll Clerk in processing bi-monthly payroll duties.

DUTIES & RESPONSIBILITIES

• Track Medicaid payments and denials and provide list of past due payments to supervisor.
• Maintains updated list of lifeline clients monthly.
• Prepare aging report using Financial Edge and Lifeware and follow-up with outstanding balances.
• Manage Medicaid and State Web Portal site database.
• Prepare and submit electronic Medicaid billing to State Fiscal Agent monthly.
• Enter state prior authorization (PAR) data into Web Portal site and file (PARS) into subscriber folders.
• Update client PAR effective dates of coverage monthly.
• Act as agency/liaison between State Fiscal Agency and case managers.
• Research claims denied and follow-up with case managers and State Fiscal Agent.
• Re-submit denials promptly, keeping in a timely filing process per the State Procedures found in the Medicaid Manual.
• Research files in the Lifeline office as needed to complete billing procedures.
• Manage private billing process as necessary.
• Attend ongoing Medicaid training annually and/as offered by the State.

14. Attend Lifeline staff meetings and meet with Program Development Director as needed.

15. Assist the Payroll Clerk with processing payroll bi-monthly which includes data entry, timesheet collection, and ensuring accuracy with each pay period.

• Manage Help Program billing & reconciliation
• Maintain auto debits for Lifeline
• Responsible for tracking and billing Medicaid Transportation Billing.

* This job description is not intended to be all inclusive and employees will be expected to perform other reasonably related duties as assigned by immediate supervisor and other management as required.

REQUIRED QUALIFICATIONS

· Minimum of a Hogh School Diploma or equivalent

· Associate’s Degree or Certificate in Accounting preferred

· One-year experience with Medicaid Web Portal, medical claims, Microsoft Windows and Microsoft software.

· Individuals considered for hire must have a current driver’s license and reliable transportation.

Sedentary Work Notice:

Exerting up to 30 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to list, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are considered sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. M-Medium Work – Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force constantly to move objects. Physical demand requirements are more than those for light work.

ESSENTIAL FUNCTIONS OF THE JOB:

· Specialty Billing Software Usage

· Electronic Reporting

· Billing Processes for Multiple Programs

EXPERIENCE / PERSONAL QUALITIES

· Requires excellent organizational and communication skills

· Ability to work well in a multifaceted high stress environment

· Must be detail oriented with ability to maintain effective working relationships with staff, volunteers and seniors

APPLICANT NOTICE:

I have reviewed and understand this job description and the essential functions for this position as detailed above. I also acknowledge the SRDA Executive Director has designated this to be a safety sensitive position and as such given SRDA permission to do a pre-employment background check and a seven-year criminal history check as stated in the SRDA Personnel Policy Manual.

This organization reserves the right to revise or change job duties, responsibilities, and descriptions as needs arise. This job description does not constitute a written or implied contract of employment.

This information has been adapted from guidelines established by the U.S. Department of Labor, Dictionary of Occupational Titles, and can be used to assure the safety and productivity required by helping more accurately match employee qualifications with job functions.

Job Type: Full-time

Pay: $30,000.00 - $35,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid sick time
• Paid time off
• Vision insurance

People with a criminal record are encouraged to apply

Experience:

• Microsoft Excel: 1 year (Required)
• Medicaid Billing: 1 year (Preferred)

Work Location: In person

Salary : $30,000 - $35,000