Billing Specialist

Description:

Position Title: Billing Specialist

Reports to: Clinical Manager of Crisis Services

Type: Part Time / non-exempt

Shift/Schedule Availability: Monday – Friday, 8am - 5pm (16 - 20 hours per week)

Pay Rate: $27.60 per hour

Union Representation: Represented by OPEIU

Location: Hybrid, Seattle WA

PROGRAM SUMMARY: Crisis Connections provides a variety of telephone-based support services that are free and easily accessible to anyone in our community experiencing crisis. Our service area includes King County and WA State. Our passion is to foster resilience and wellbeing for all by connecting people to accessible and compassionate support.

POSITION SUMMARY: The Billing Specialist performs billing, data entry, and related administrative tasks to support the King County Crisis Line. The Billing Specialist performs tasks to ensure that billing documents are completed in a timely and accurate manner and meet contractual requirements. This position will communicate with providers to confirm accuracy of information and resolve any issues. In addition, this Billing Specialist will provide support to the Clinical Manager in other tasks related to billing, hospital authorizations, and general administrative support where needed.

Job Duties and Responsibilities:

• Reviews basic non-clinical initial authorization information, identifying, and investigating any inaccuracies or inconsistencies found between the paper documentation and information entered into the Inpatient Authorization Program. Forwards medical inconsistencies to Clinical Manager for review and correction.
• Contacts appropriate in-patient treatment facilities departments to follow-up on needed paperwork.
• Confirms medical eligibility and enters data into Provider One.
• Maintains records on all initial authorizations, retrospective reviews and appeals, diversions, or other processes. Logs all data into excel spreadsheet.
• Brings non-clinical inconsistencies to the attention of Authorizer and Coordinator. Calls hospital to verify information.
• Email initial authorization certification and denial documentation to inpatient treatment facilities and KCMHP, meeting timeliness requirements. Maintains a copy of the fax confirmation information as part of case record.
• Assists in collecting and disseminating information related to grievances or other appeal processes.
• Assists in coordinating retrospective reviews by receiving review requests and gathering and disseminating documentation as necessary.
• Prepares any correspondence to inpatient treatment facilities or other entities as needed.
• Gathers information for preparation of Initial Timeframe Report for submission to the County on a monthly and quarterly basis.
• Responsible for logging discharges in to Provider One.

QUALITY AND QUANTITY OF WORK/WORK HABITS

• Follow personnel policies and procedures.
• Written and verbal communication is clear, concise, accurate and thorough.
• Demonstrate genuine relationships by cooperating with others, handling disagreements directly with the person(s) concerned in a truthful and open manner and accepting constructive feedback. Show respect to co-workers, volunteers, and customers/clients.
• Promote a healthy work environment by demonstrating collaborative decision-making and team-building behaviors; provides peer support and motivates staff and volunteers to outstanding performance.
• Suggest solutions to identified problems and has an eye for process improvement.

KNOWLEDGE AND ABILITIES:

• Knowledge of public mental health system and experience in medical billing, preferred.
• Evidence of ability to develop and maintain effective working relationships.
• High attention to detail with proven skill producing error-free, professional-looking documents and other materials.
• Able to work independently and consult appropriately with supervisor.
• Strong organizational skills.
• Evidence of ability to work with a team of clinical staff and volunteers.

Required Qualifications:

• Degree in Social Sciences or related field preferred
• 2 years of general office and data entry experience
• Experience and familiarity working with Microsoft Office suite, with intermediate Excel skills.

Requirements:

Working Conditions: Individuals in this position should be able to sit or stand for lengthy periods of time. Individuals will need to be able to wear a headset or earphones as they take calls. Individuals will need to manage several IT/software platforms at once and be able to function in an environment with moderate noise and distraction.

Computer Skills Assessment: Crisis Connections requires a basic Computer Skills assessment to measure computer literacy and skills. The assessment is approximately 15 minutes in length, and timed. HR will provide a link to complete the test after screening qualified candidates.

Excel skills assessment: This role requires candidates to complete an Excel skills assessment to measure proficiency with MS Excel. HR will provide a link to complete the test after screening qualified candidates.

The assessments will be completed on the candidate's personal computer. Upon request, candidates may take the assessment at one of our 2 office locations as an accommodation. Additional accommodations for the assessment are provided upon request.

Technology Requirements:

Smart phone with ability to download and use Multi-factor Authentication (MFA) application.

Thriving employees means a thriving mission: We work hard to embrace diversity and inclusion. We welcome everyone's lived experiences, cultures, and expertise, at Crisis Connections because it strengthens our team and the care we provide to the community. BIPOC, persons with disabilities, and members of the LGBTQ+ community are strongly encouraged to apply.

We are dedicated to supporting our employees by offering excellent benefits and career progression opportunities.

Excellent medical, dental, and vision coverage

Annual wage increases

Generous Paid Time Off & 12 Paid Holidays

Discount on ORCA transit pass

Free Parking & Flexible Schedules

Growth opportunities

Self-care tools & weekly check ins with your supervisor

Voluntary Benefits

Short-term and long-term disability

Flexible Spending Accounts (FSA)

403B Retirement Plan

Gym classes

Offers of Employment: All offers of employment are contingent upon successful completion of a background check including a Criminal History Report and Reference Check.

DISCLAIMER: The information presented indicates the general nature and level of work expected of employees in this classification. It is not designed to contain, or to be interpreted as, a comprehensive inventory of all duties, responsibilities, qualifications, and objectives required of employees assigned to this job. As an adaptive organization, responsibilities can and will change in alignment with greater efficiencies and mission metrics.

EQUAL EMPLOYMENT OPPORTUNITY AND NON-DISCRIMINATION: Crisis Connections (CC) is committed to equal opportunity for all employees and applicants. CC does not discriminate with regards to hiring, assignment, promotion, or other conditions of staff employment because of race, color, religion, sex, national origin, age, marital status, sexual orientation, gender, gender identity, veteran status, disability, genetic information, or any other status protected under local, state, or federal law.

In accordance with the Americans with Disabilities Act, upon request, reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of our positions.

Crisis Connections is an equal opportunity employer. We value having employees whose skills, experience and background reflect the diverse populations we serve.