JOB TITLE: Billing Specialist
FUNCTIONS: Provides efficient/effective support essential for agency billing functions.
CORE RESPONSIBILITIES:
1. Demonstrates effective time management by being prompt for work and meetings, efficiently managing time scheduled for direct and indirect services and meeting all time requirements associated with assigned duties.
2. Works effectively with other agency staff including appropriate personal behavior during work hours, appropriate communications with other staff, participating in agency-wide activities, and demonstrating a willingness to participate in the overall development of effective/ efficient services for agency consumers.
3. Demonstrates a willingness to contribute professional skills and time for unusual circumstances that require additional work time and assignments outside of customary work hours and assignments.
4. Understands and implements agency “need to know” policy on the access to personally identifiable information and/or client data.
5. Maintains agency, state and federal standards of confidentiality in the handling of sensitive information regarding client clinical data, as well as any personally identifiable information.
6. Able to represent the agency appropriately at meetings and other events as assigned including providing training to referral resources and public on topics relevant to the mission of the agency.
7. Demonstrates proficiency in use of computerized data systems utilized y the agency to include the Clinician Assistant Program and other KIS (Knight integrated Software or KIT modules as required by supervisory staff.
SPECIFIC RESPONSIBLIITIES:
1. Completes all aspects of Medicaid billing to include cross-checking and ensuring accuracy of client billing, compiling cross-checked bills into a batch, and submitting the compiled data to DHHS electronically. Monitors Medicaid billing for accuracy.
2. Double checks Medicaid eligibility issues as assigned by supervisor. Monitors Medicaid eligibility for accuracy.
3. Attends related state Medicaid/other training as assigned.
4. Runs Medicaid activity report in KIS, identifies billing issues and makes corrections quarterly.
5. Verifies, compiles documentation, and submits third party insurance claims; researches and resubmits denied claims as necessary.
6. Input medical appointments into Carelogic. Generate medical provider reports for payment.
7. Pull and monitor failed claims and activities and correcting as needed for accurate billing
8. No Supervisory duties required.
9. Performs other duties as assigned.
10. Posting all daily batches
11. Submits State batches weekly for all three OP Sites.
12. Responsible for ensuring all batches are free before submitting.
FEATURES: Directly responsible to the Director of Administration
QUALIFICIATIOINS: Associate degree in business/secretarial science and 2 years’ experience clerical or administrative experience, or high school and 4 years responsible clerical or administrative experience.
CLASSIFICATION: Non-exempt
Job Type: Full-time
Pay: $38,000.00 - $40,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Ability to Commute:
- Mullins, SC 29574 (Required)
Ability to Relocate:
- Mullins, SC 29574: Relocate before starting work (Required)
Work Location: In person