Billing Specialist

Billing Specialist Carousel Child Advocacy Center Wilmington, NC Job Details Full-time $55,791 - $61,140 a year 1 day ago Benefits Health insurance Dental insurance 401(k) Paid time off Employee assistance program Vision insurance 401(k) matching Life insurance Paid sick time Qualifications Computer operation Microsoft Outlook Medicaid billing Spreadsheets Medical coding for insurance companies Basic math Driver's License Database management Health insurance knowledge Invoice data entry 10 key typing Associate's degree Account management

Full Job Description 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 experience

Requirements:

• 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