Billing Specialist

Job Title: Billing Specialist Location: Heppner, OR Supervisor: Billing Supervisor FLSA: 1.0 FTE (expectation to work 40 hours per week) Pay Grade: B6 ($20.96 - $29.38 per hour, depending on experience) Hiring Bonus: $5,500 (2 year Commitment, Staggered-taxed Payout) 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 Depending upon location, this position works under the supervision of the Billing Supervisor or Office Support Supervisor. 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 (UA’s), provide accurate information on the UA’s to clients, in some cases observe 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. Identify and resolve patient billing problems. Collect, post and manage 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 High school diploma or equivalent G.E.D. certificate. Computer literate and able to create and understand spreadsheets, utilize word processing, and learn clinical software systems. Must be able to type quickly and accurately. Basic knowledge of medical billing/coding/third party operating procedures and practices. Well organized and detail oriented. Excellent interpersonal skills; ability to establish and maintain effective working relationships with patients, employees and the public. Ability to handle highly confidential information and adhere to privacy regulations. Functional knowledge of business English and medical terminology. Good spelling and basic mathematical skills. Basic bookkeeping skills for balancing accounts. Ability to learn assigned tasks readily and adhere to general office procedures. Strong time management skills; able to work with minimal supervision. Knowledge of standard office equipment (computer, phone, copier, fax). Strong written and oral communication skills; ability to present and exchange information internally and externally. Additional Requirements Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR 410-007-0200 through 410-007-0380. Pre‑employment background check and monthly checks against federal and state agency exclusion lists. Pre Hire Drug Screen Required. Must hold a valid driver’s license and personal auto insurance for privately owned vehicles used for CCS business. Proof of $300,000 or more liability coverage for bodily injury and $100,000 or more in property damage required. Physical Demands & Work Environment Regular use of office automation including computer and phone systems. Requires fine motor skills, typing, and reaching. May sit, talk, and hear; occasionally stand, walk, reach, stoop, kneel, or squat. May lift up to 30 pounds. Vision: close, peripheral, distance vision and ability to adjust focus. Work in office environment, moderate noise level, occasional loud noise, exposure to everyday office risks. Benefits Health, dental and vision insurance 6% initial 401K match Generous paid vacation, floating holiday, mental health days, etc. Paid holidays Employee Assistance & Wellness Benefits Community Counseling Solutions is an Equal Opportunity Employer. Member of National Health Services Corporation. #J-18808-Ljbffr