Billing Specialist

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 & Multidisciplinary Team (MDT) Protocol, the National Children’s Alliance (NCA) and Children’s Advocacy Centers North Carolina (CACNC).

DUTIES AND RESPONSIBILITIES:

· Verifies patients’ medical insurances and Medicaid eligibility via NCTracks.

· 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.

· When preparing charges for submission, reviews medical files to ensure accurate documentation of patient services and ensures appropriate charges are captured.

· Contacts DSS to get needed patient SIS numbers for billing submission to CMEP.

· Sends completed medical billing sheets to Solutions in Billing to generate HCFAs within two business days of completed service.

· Scans and saves DSS checklists into online patient folders upon return from CMEP.

· Uploads all DSS/CME documents to CMEP online portal.

· Liaises with Solutions for Billing and CMEP as needed

· Processes lab/diagnostic services bills and creates PERS to pay for services.

· Bills JPD and NCIS each month for services rendered.

· 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

· Follows up on unpaid claims.

· Enters CAC grants-related expenses for monthly reimbursements (GCC, DHHS, etc.)

· Maintains client records in confidential manner (HIPAA)

· Processes timesheets/invoices for contractors within appropriate timeline.

· Creates invoices and monitors payment of court witness fees for CAC staff/contractors providing testimony in court.

· Assists in patient information management through the use of the Collaborate database and case file with accuracy and timeliness

· Works to ensure best practice approaches and adherence with NCA Accreditation Standards

· Assists the Fiscal Team during peak times

· Participates in agency meetings and trainings

· Participates in on-going programs and initiatives of organization to include philanthropy

· Other duties as assigned by the Finance Director and Executive Director

MINIMUM QUALIFICATIONS:Education and Experience:

· Associate’s degree in accounting or related field

· 1-3 years’ medical billing experience

Knowledge, Skills, and Abilities:

· Familiarity with medical insurance and billing procedures.

· Strong computer skills, including proficiency with Microsoft Office Suite (with emphasis on Outlook, Word, and Excel).

· Proficient with web-based applications.

· Ability to perform mathematical calculations.

· Meticulous attention to detail.

· Strong organizational/time management skills

· Ability to manage databases and resource materials.

· Ability to plan and prioritize work.

· Excellent interpersonal, verbal, and written communication skills.

· Ability to work independently.

· Ability to operate common office equipment, including a 10-key calculator.

· Creative and energetic self-starter who is organized and able to prioritize and meet deadlines with minimal supervision.

· Knowledge of accounting as it relates to non-profit organizations and grant funding is highly desirable

· Well-developed communication skills, both written and oral.

PREFERRED QUALIFICATIONS:Education and Experience:· Bachelor’s degree in accounting or related field· 3-5 years’ medical billing experienceRequirements:

· 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.

· Must submit to and pass a criminal background screening and E-Verify requirements.

· Requires a valid North Carolina Driver’s License, good driving record, and automobile insurance.

· Must have reliable transportation.

· Must pass a drug screening.

· 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 “at-will” 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 year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid sick time
• Paid time off
• Vision insurance

Education:

• Associate (Preferred)

Experience:

• medical billing: 1 year (Required)

Work Location: In person