Job Information
Big Island Substance Abuse Council Billing Specialist in Keaau, Hawaii
We are seeking a detail-oriented and experienced Billing Specialist to join our team. The Billing Specialist is a qualified staff memeber who will assist with daily activities in the Fiscal Department, with the abilitiy to provide support to the Chief Financial Officer, Accountants and /or it sdesignee. The Billing Specialst will be responsible for accurately processing and submitting medical claims, ensuring timely reimbursement, and maintaining accurate patient records. The ideal candidate has a strong understanding of medical billing and coding procedures, excellent attention to detail, and the ability to work in a fast-paced environment.
-Position Qualifications
Minimum Education"
High School diploma or graduate of an accredited business or secretarial school
Preferred Education/Experience:
Minimum of two (2) years clerical experience, two (2) or more years' experience in billing functions, preferably in a human service non-profit agency
Required Certification/Registration:
Basic Life Support: CPR Annually, First Aid (every 3 years), TB Annually; Valid State of Hawaii Driver's License, Medical Clearance
Specific Competencies:
Refer to attached Performance Standards/Indicators. Participates and maintains competencies/skills required for the positions
Equipment Used:
Agency assigned computer with a variety of software applications, fax machine, Xerox machine, scanner, multi-line telephone, Next Gen
Working Environment:
Modern well-lighted, air-conditioned work areas. Exposure to infectious disease is a minimal risk. Noise level in the environment is usually moderate. Verbal/physical assault is a minimal risk
Physical Requirements:
See attached Expected Physical Activities
Ability to assist with direct client care;
Able to communicate effectively, both verbally and in writing;
Listening skills necessary to effectively respond to staff, clients, managed care providers and vendors and clients
Proven experience as a Billing Specialist or similar role in a medical setting
- Strong knowledge of medical billing, coding, and terminology
- Proficient in using electronic medical records (EMR) software (Next Gen) j
- Excellent attention to detail and accuracy
- Strong organizational and time management skills
RESPONSIBILITIES
Assist Chief Financial Officer (CFO) with daily activities
Process Managed Care insurance billing for substance abuse care and review with CFO to ensure accuracy
Process all ADAD monthly billings and review with CFO to ensure accuracy
Process other contract billings as assigned
Maintain billing spreadsheet for all programs and contracts
Maintain all client billing files
Reconcile client services to authorization and report discrepancies to CFO
-Follow up on client eligibility for all Managed Care clients to ensure appropriate coverage
-Follow up on outstanding insurance claims for all Managed Care clients
Follow up on Managed Care denials as soon as received
Follow up on outstanding aging (monthly)
Prepare adjustments monthly and report for approval to CFO
Communicate with Counselors on all Managed Care requirements
-Assist in monthly TLP Daily Census forms and verify for paperwork submission
Ensure timely monthly billing. ADAD - no later than the 10th of each month. Managed Care - no later than the 13th of each month
Post Claimtrak progress notes and distribute assignment to Fiscal Clerk(s) for processing of encounters
Oversee data entry and reconciliation of ADAD billings
Oversee guarantor maintenance of other Fiscal Clerks
Attend workshops, seminars and conferences as determined by supervisor
Assist with all other duties as assigned by the CFO
Assist in filing as requested
If you are a dedicated professional with a passion for accuracy and efficiency in medical billing, we want to hear from you. Join our team as a Billing Special st and contribute to the success of our healthcare organization.
Please note that only qualified candidates will be contacted for an interview.
Job Type: Full-time
Pay: $18.00 - $20.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
- Office
Ability to Commute:
- Keaau, HI 96749 (Required)
Ability to Relocate:
- Keaau, HI 96749: Relocate before starting work (Required)