Job Description

** POSITION SUMMARY**

The Billing Specialist (BS) position is an integral part of our organization’s accounting team. This position requires an individual who has a strong attention to detail, and excellent organizational and communication skills, written and oral. The BS will be responsible for reviewing and preparing invoices, ensuring the accuracy and completeness of billing data, resolving billing issues, and maintaining appropriate and accurate records. This position will also support documentation of processes and provide recommendations to promote effectiveness and efficiency. This position reports to the Chief Financial Officer.

** RESPONSIBILITIES**

The position will be responsible for the following:

• Submit reimbursement requests to state, private, and employer insurance.

• Verify patient insurance coverage, obtain pre-authorization when necessary, and confirm deductible and copayment details.

• Follow up on insurance claims, including denials, payments, and requests for more information.

• Complete the process for credentialing clinicians.

• Research and resolve client billing questions or issues.

• Review and prepare customer invoices, ensure accuracy and completeness of billing data.

• Monitor and follow up on outstanding invoices.

• Post payments in financial and electronic medical record system to individual account.

• Work with self-paying patients to develop payment arrangements.

• Maintain patient confidentiality and adhere to HIPAA regulations.

• Stay updated on changes in medical billing and coding guidelines.

• Collaborate with other departments as needed.

• Other duties as assigned.

Qualifications

• Minimum associate degree or technical certificate or equivalent work experience.
• Minimum 3 years’ experience with billing for Medicare, Medicaid, and other third parties is required. Certifications in medical billing or experience with mental health billing are a plus.
• Experience with billing software and electronic medical records; Advanced MD is a plus.
• Excellent customer service skills and attention to detail
• Strong analytical and problem-solving skills
• Strong organizational skills and the ability to work under pressure
• Effective oral and written communication skills
• Ability to prioritize multiple tasks and meet deadlines Effective computer skills in Outlook, Word, and Excel highly preferred.

Additional Information

WORKING CONDITIONS:

Normal well-lit cubicle office environment where there is little to no physical discomfort due to temperature, dust, noise, and the like. Required to work on-site at least 2 days of the week. May be required to meet with staff throughout the facility and in remote offices.

EEO Statement:

It is the policy of Families First not to discriminate against any employee or applicant for employment because of race, color, religion, sex, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Families First to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Families First is an Equal Opportunity Employer dedicated to Affirmative Action and Workforce Diversity.

Families First participates in E-Verify.

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