Billing Specialist

THE SALVATION ARMY NORTH AND CENTRAL ILLINOIS DIVISION Harbor Light Center POSITION DESCRIPTION POSITION TITLE: Billing Specialist LOCATION: Harbor Light Center REPORTS TO: Billing and Office Manager FLSA CATEGORY: Non-Exempt STATUS TYPE: RFT PAY GRADE: 403 PAY RANGE: $18.11-$21.73 DEPARTMENT MISSION To support the full mission of The Salvation Army by completing all billing tasks, assisting with the reception, and attending to telephone calls and secretarial duties. PROGRAM/CLIENT ENVIRONMENT The backgrounds of the clients served by The Harbor Light Program will manifest a variety of inappropriate behaviors. When this occurs, employees are to respond within the context of the treatment environment of the site. Employee conduct (actions, dress, etc) and interactions (conversations, written communications, etc.) with clients must also be within the treatment environment of the facility. OUTCOMES Coordinates the collection of data from all departments; Responsible for submitting claims and following up with insurance companies; monitors DASA and other funding bodies and reviews all printouts for accuracy; reports any problems or discrepancy to the Director of Clinical Programs. ESSENTIAL DUTIES AND RESPONSIBILITIES Prepares and submits clean claims to various insurance companies, and state funders either electronically or by paper. Processes payments from insurance companies. Completes pre-authorizations for insurance companies. Responsibility is assumed for computer entry of all client data/transactions related to client case openings, changes, deletions, services, and closings submitted by all Harbor Light Units of services. Occasional receptionist responsibilities are assumed for the Outpatient Clinic including receiving, informing and directing self-referred and scheduled patients; telephone inquiries are received, responding with appropriate general information or channeling theses inquires to appropriate staff members. Front office work such as typing, answering telephones, copy work, delivering mail, is completed when time permits throughout the day. All closing information is entered at the end of each month. Filing is performed and records related to job responsibilities are kept. DARTS and Medicaid status are checked for accuracy, copies are printed out and the Office Coordinator is informed of any problems. All other duties as assigned, including special projects. REPORTING RELATIONSHIPS This position reports to the Billing and Office Manager. In contacts related to this position's duties, this individual acts as a representative of The Salvation Army and its mission. PERFORMANCE MEASUREMENTS This individual will be evaluated on how effectively the outcomes of this position are achieved, as well as the timeliness, accuracy and completeness of accomplishing assigned goals. EDUCATION/EXPERIENCE High School diploma or GED equivalent required. At least two years of experience in secretarial and office work, with computer operation, and two years of experience in insurance billing. COMPETENCIES A commitment to the mission of The Salvation Army. An ethical ability to work with confidential material. An interpersonal style that is service oriented as well as anticipates and responds to the needs of client departments. Skill in answering a telephone in a pleasant and helpful manner. A flexible style that also displays a willingness to learn. Able to work as a team member as well as independently. Able to work at a fairly fast pace. An excellent attention to detail, procedures, processes, and policies. A communication and management style that exhibits the principals and values of the Army as well as fosters team relationships and effectively communicates information. A demonstrated ability to manage projects, priorities, and programs in a constantly changing environment. Knowledge of medical insurance billing practices. Knowledge of basic medical coding and third-party operating procedures and practices. Knowledge of business office procedures. Ability to operate a computer and basic office equipment. Ability to operate a multi-line telephone system. Ability to read, understand and follow oral and written instructions. Ability to establish and maintain effective working relationships with patients, employees and the public. Must be well organized and detail oriented. Must have a strong sense of integrity and be able to work with confidential material. Competent in all basic computer programs, typing and filing. Strong English grammar skills Ability to handle people with courtesy and mature judgment. Be able to work cooperatively with superiors and other employees. POSITION LIMITATIONS This individual will only commit Salvation Army resources that have not been allocated or approved. This individual will keep the Billing and Office Manager informed on all critical issues relating to his/her area of responsibility. This individual will adhere to all Army policies and procedures in carrying out the responsibilities of this position. PHYSICAL DEMANDS/WORK ENVIRONMENT This position is required to do light physical work. In order to successfully perform the essential functions of this position, the employee is regularly required to use standard office equipment and PC. Must be able to walk up two flights of stairs and lift up to 25lbs. The work environment for this position includes an office environment with a low noise level. Must be able to work with clients that have poor social skills, suffer from mental illness, and have substance abuse problems. #J-18808-Ljbffr