Abrar Admin

Carousel Child Advocacy Center

PURPOSE: The Billing Specialist processes and reconciles billing/revenue generated for medical/clinical services performed and processes all Child advocacy Center (CAC) grant-related service reimbursements and fiscal reporting while ensuring adherence to funders, HIPAA, agency policies and standards set forth by the New Hanover, Brunswick, and Pender County Interagency Agreements &amp; Multidisciplinary Team (MDT) Protocol, the National Children&rsquo;s Alliance (NCA) and Children&rsquo;s Advocacy Centers North Carolina (CACNC).DUTIES AND RESPONSIBILITIES:&middot; Verifies patients&rsquo; medical insurances and Medicaid eligibility via NCTracks.&middot; Ensures accurate completion of coding and signatures on medical billing sheets prior to submission to CMEP and Solutions in Billing for Medicaid and other insurances.&middot; When preparing charges for submission, reviews medical files to ensure accurate documentation of patient services and ensures appropriate charges are captured.&middot; Contacts DSS to get needed patient SIS numbers for billing submission to CMEP.&middot; Sends completed medical billing sheets to Solutions in Billing to generate HCFAs within two business days of completed service.&middot; Scans and saves DSS checklists into online patient folders upon return from CMEP.&middot; Uploads all DSS/CME documents to CMEP online portal.&middot; Liaises with Solutions for Billing and CMEP as needed&middot; Processes lab/diagnostic services bills and creates PERS to pay for services.&middot; Bills JPD and NCIS each month for services rendered.&middot; Tracks and reconciles medical billing/revenue generated through NCTracks, CMEP and other insurances/Medicaid payers for services rendered/billing sheets submitted. Enters information into Fiscal spreadsheet to be shared with CAC Director&middot; Follows up on unpaid claims.&middot; Enters CAC grants-related expenses for monthly reimbursements (GCC, DHHS, etc.)&middot; Maintains client records in confidential manner (HIPAA)&middot; Processes timesheets/invoices for contractors within appropriate timeline.&middot; Creates invoices and monitors payment of court witness fees for CAC staff/contractors providing testimony in court.&middot; Assists in patient information management through the use of the Collaborate database and case file with accuracy and timeliness&middot; Works to ensure best practice approaches and adherence with NCA Accreditation Standards&middot; Assists the Fiscal Team during peak times&middot; Participates in agency meetings and trainings&middot; Participates in on-going programs and initiatives of organization to include philanthropy&middot; Other duties as assigned by the Finance Director and Executive DirectorMINIMUM QUALIFICATIONS:Education and Experience:&middot; Associate&rsquo;s degree in accounting or related field&middot; 1-3 years&rsquo; medical billing experienceKnowledge, Skills, and Abilities:&middot; Familiarity with medical insurance and billing procedures.&middot; Strong computer skills, including proficiency with Microsoft Office Suite (with emphasis on Outlook, Word, and Excel).&middot; Proficient with web-based applications.&middot; Ability to perform mathematical calculations.&middot; Meticulous attention to detail.&middot; Strong organizational/time management skills&middot; Ability to manage databases and resource materials.&middot; Ability to plan and prioritize work.&middot; Excellent interpersonal, verbal, and written communication skills.&middot; Ability to work independently.&middot; Ability to operate common office equipment, including a 10-key calculator.&middot; Creative and energetic self-starter who is organized and able to prioritize and meet deadlines with minimal supervision.&middot; Knowledge of accounting as it relates to non-profit organizations and grant funding is highly desirable&middot; Well-developed communication skills, both written and oral.PREFERRED QUALIFICATIONS:Education and Experience:&middot; Bachelor&rsquo;s degree in accounting or related field&middot; 3-5 years&rsquo; medical billing experienceRequirements:&middot; While performing the duties of this job, the employee is regularly required to stand; walk; sit for extensive periods of time; use hands and fingers to operate a computer and telephone keyboard and calculator; reach with hands and arms; and stoop, kneel or crouch. In addition, the employee will occasionally lift and/or move up to 50 lbs.&middot; Must submit to and pass a criminal background screening and E-Verify requirements.&middot; Requires a valid North Carolina Driver&rsquo;s License, good driving record, and automobile insurance.&middot; Must have reliable transportation.&middot; Must pass a drug screening.&middot; Ability to work flexible hours/schedule, i.e., occasional Saturdays and evening hours. on occasion and ability to work off-site in different settings throughout the community.Work Environment:Works primarily in an office environment.Approximate travel: 5%THIS JOB DESCRIPTION includes, but is not limited to, the above information. This document does not create an employment contract, implied or otherwise, other than an &ldquo;at-will&rdquo; employment relationship. I have read the job description and have been given an opportunity to ask questions and offer suggestions. I understand that I am responsible for the duties listed and that my performance of said duties will be included in my performance evaluation.Pay: $55,791.00 - $61,140.00 per yearBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Health insurance</li><li>Life insurance</li><li>Paid sick time</li><li>Paid time off</li><li>Vision insurance</li></ul>Education:<ul><li>Associate (Preferred)</li></ul>Experience:<ul><li>medical billing: 1 year (Required)</li></ul>Work Location: In person

Billing Specialist

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Carousel Child Advocacy Center

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Billing Specialist