Description: Position Summary and Job Duties
Performs general accounting duties to support the Revenue Cycle Management tasks of the Human Services Department. This includes charge maintenance; billing preparation and submission; data correction; interface for clients, staff, and third-party payers; denial management and claim resubmission. Supports and promotes the Mission, Vision and Guiding Principles of the Human Services Department. Performs in a manner consistent with the HSD Professional Standards and Commitment to My Co-Workers.40% - Charge Maintenance Create weekly extractions of program staff documentation summaries from electronic health record and distributes reports to supervisors to ensure episode notes are entered prior to billing to payersReview and add provider credential modifiers for billing software to assign appropriate charge amountsInitiate billing system data updates to apply missing and corrected dataReview and correct errors and omissions in episode entries (diagnosis codes, time durations, charge roll-ups) through program staff e-communicationsInform Supervisor monthly of reoccurring billing data entry mistakes so appropriate training can be encouraged 20% - Billing Preparation and Submission Prepare and submit claims for services to third-party payersPrepare and issue invoices to private-pay clientsPrepare and mail monthly statements to clients with outstanding balancesCreate monthly A/R aging report and provide to revenue cycle coordinatorPrepare Private Party invoices20% - Data Correction Modify client insurance information to direct billing to appropriate payersCorrect episode notes (Records Quality Management)Correct addresses on returned mail in billing system10% - Billing Denial Management Determine the billable charges for each third party payer and maintain clients' payer files in billing system to reflect those servicesInquire regarding denial of payment from third party payersResubmit corrected claims to third-party payers 5% - Interface for Clients, Staff, Third-Party Payers Initial contact for inbound phone calls from clients and third-party payers for billing questions and follow-upCreate past month's program staff documentation summaries and distribute to supervisor5% - Other duties as assigned Allocate monthly Motor Pool mileage into summarized data by program for journal entry creationAllocate monthly cell phone charges into summarized data by program for journal entry creationAid unit with check reconciliations, scanning, filing Success Factors (KSA's) General knowledge of bookkeeping (creation of journal entries, Accounts Receivable functions and reporting), office procedures and terminologyExcellent analytical, computational, and basic math abilitiesProficient in computer skills, including MS Outlook, MS Word, MS Excel, and accounting softwareProficient data entry skills with attention to detailUnderstanding of Human Service programs, HIPAA privacy standards, and trauma-informed care; need for level of integrity due to nature of work performed by departmentProfessional verbal and written communication skills to represent department on phone and in written form Ability to interact with clients, staff, and payers to ensure accurate information and correct billing Job Requirements, Education, Training & Experience High School diploma or equivalent supplemented by focused coursework in bookkeeping and software applications. Three-four years of bookkeeping or accounting experience, or Associate's degree or higher with 1-2 years of bookkeeping experience. Essential Job Functions (physical elements, equipment and working conditions)Physical elements:
Employee is regularly required to stand, sit, talk, hear, and use hands and fingers to operate a computer and telephone keyboard
Equipment use:
Ability to use desktop computer and keyboardAbility to use standard office equipment
Working conditions:
Low noise level in an office setting
