Billing Specialist

JOB TITLE: Billing Specialist

LOCATION:

FLSA: 1.0 FTE (expectation to work 40 hours per week)

SUPERVISOR: Billing Supervisor

PAY GRADE: B6 ($20.38 - $28.51 per hour depending on experience)

Community Counseling Solutions provides a team-based Servant Leadership environment! Located in Eastern Oregon with year-round recreation based near the Columbia River and at the base of the Blue Mountains. Big city amenities in rural family-oriented communities.

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Our mission is to provide dynamic progressive and diverse supports to improve the well-being of our communities and were looking for motivated employees to help us continue our vision!

CCS has a benefit package including but not limited to:

• Health dental and vision insurance
• 6% initial 401K match
• Potential for tuition reimbursement
• Generous paid vacation floating holiday mental health days etc. (Exempt employees receive additional admin leave hours)
• Paid holidays
• Relocation Benefit of up to $4000 if moving over 100 miles $ depending on distance
• Student loan forgiveness
• Paid licensure supervision.
• Employee Assistance & Wellness Benefits

DESCRIPTION

Responsible for collecting posting and managing patient accounts receivable. Responsible for submission of claims including medical coding and follow up with insurance companies. Prepares and reviews client statements as well as reviews accounts for collection purposes. Performs clerical and secretarial work in direct support of agency programs and clinical staff. Duties generally consist of dictation data entry answering phones greeting and scheduling clients answering general question filing copying typing letters putting together basic spreadsheets and a variety of other tasks described below.

SUPERVISION

Supervision Received

Depending upon location this position works under the supervision of the Billing Supervisor or Office Support Supervisor.

Supervision Exercised

This position does not have any supervisory responsibilities but may assist in the training of new Billing Specialists and Office Support Specialists as needed.

RESPONSIBILITIES

• Prepare and review patient statements.
• Review delinquent accounts and perform communication for collection purposes.
• Submit claims to insurance companies.
• Ensure proper coding of services data entry of services and perform claims follow up.
• Perform word processing to prepare all office forms with reasonable speed and accuracy.
• Administer forms for urinalysis testing (UAs) provide accurate information on the UAs to clients in some cases observes the UA and record all pertinent information.
• Handle multiple phone lines with voice mail system on a daily basis. Route calls to appropriate clinician.
• Deal effectively and in a friendly manner with all patrons and employees in person and by phone and direct calls and individuals to proper sources; answer inquiries and provide correct general program information to the public and clients; communicate with community agencies effectively provide information referrals etc.
• Order supplies when requested by the Billing Supervisor.
• Schedule clients for appointments assist in the completion of intake paperwork when necessary obtain completed intake paperwork communicate with and collect fees from clients explain fees to clients obtain insurance information for billing purposes enter data into computer system database.
• Maintain agency and clinical forms files and supply of new client files. Copy client files as needed. Maintain clinician schedules via use of computer scheduling. Ensure entry into billing system of contracted or non-clinical services.
• Inventory office supplies and notify appropriate staff when items need to be re-ordered. Receive freight. Mail correspondence and pick up and distribute mail.
• File documents in client files. Purge files when statute of limitations has expired.
• Interpret client accounts and explain this information to client. Identifies and resolves patient billing problems.
• Collects posts and manages patient account payments and prepares deposits and other administrative reports.
• Perform and participate in agency financial controls as directed.
• Record changes of information for client records. Complete authorizations to share and exchange information.
• Maintain office equipment ensuring that equipment is in working order. Assist staff in troubleshooting problems.
• Submit reports to the state GOBHI and other agencies as required.
• Gather and distribute information as requested by the Billing Supervisor or Office Support Supervisor (i.e. timesheets purchase requests service tickets and other office forms).
• Responsible for opening the front office for business and closing the front office to assure the security of confidential information.
• Acts as a back up for other Office Support or Billing Specialists as needed.
• Other duties as assigned.

QUALIFICATIONS

Education and/or Experience

High school diploma or equivalent G.E.D. certificate. Must be computer literate and have the ability to create and understand spreadsheets utilize word processing and learn clinical software systems. Must be able to type quickly and accurately.

Certifications

No certifications are required.

Other Skills and Abilities

Knowledge or have the ability to obtain basic knowledge of medical billing/coding/third party operating procedures and practices.

Must be well organized and detail oriented.

Must have the ability to establish and maintain effective working relationships with patients employees and the public.

The position requires the handling of highly confidential information. Must adhere to rules and laws pertaining to client confidentiality.

Must posses or have the ability to possess functional knowledge of business English and medical terminology.

Must have good spelling and basic mathematical skills.

Must have knowledge of basic bookkeeping skills for balancing accounts.

Must have the ability to learn assigned tasks readily and to adhere to general office procedures.

Time management skills are essential. Must be able to work with minimal supervision.

Must have in depth knowledge of standard office equipment.

Must be able to communicate effectively in both written and oral formats. Must have the ability to present and exchange information internally across teams and co-workers and externally with customers and the public. Must have the ability to read understand and follow oral and written instructions.

CRIMINAL BACKGROUND CHECKS

Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR through .

In addition to a pre-employment background check each employee volunteer and contractor shall be checked on a monthly basis against the OIG and GSA exclusion lists as well as other federal and state agency lists. If it is discovered that an employee volunteer or contractor is excluded or sanctioned it will be the cause for immediate termination of employment volunteering or the termination of the contract.

PERSONAL AUTO INSURANCE

Must hold a valid drivers license as well as personal auto insurance for privately owned vehicles utilized for CCS business such as client service purposes travel between business offices and the community to attend required meetings and trainings.

Must show proof of $300000 or more liability coverage for bodily injury and property damage and maintain said level of coverage for the duration of employment at CCS.

The employees insurance is primary with CCS insurance being secondary. CCS reserves the right to deny any employee the use of a vehicle owned by CCS.

PHYSICAL DEMANDS

While performing the essential duties of this job the employee is regularly required to use office automation including computer and phone systems that require fine manipulation grasping typing and reaching.

The employee is also regularly required to sit; talk and hear; use hands and fingers and handle smell or feel. The employee is occasionally required to stand; walk; reach with hands and arms; stoop; kneel and/or squat when adjusting equipment or retrieving supplies.

The employee may occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision peripheral vision distance vision and the ability to adjust focus.

WORK ENVIRONMENT

Work is performed in an office environment and the noise level is usually moderate but occasionally may be exposed to loud noise such as raised voice levels and alarms.

This position may be exposed to the everyday risks or discomforts which require normal safety precautions typical of such places as an office (i.e. moving mechanical parts airborne particles electrical shock etc.).

Community Counseling Solutions

IS AN EQUAL OPPORTUNITY EMPLOYER

MEMBER OF NATIONAL HEALTH SERVICES CORPORATION