Billing Specialist (Finance)
PURPOSE
The Billing Specialist will be responsible for claims submission for insurance and other third party carriers. They will insure that all insurance, IME, DHS, Magellan private pays and other miscellaneous claims are processed monthly. Maintains a record and history of all billings and keeps an ongoing balance. Checks monthly for the status of filed claims, and reports any problems or delayed payments to the CFO. This individual will also have a working knowledge of the general responsibilities of the CFO, Bookkeeper/Asst. CFO, Accounts Payable Bookkeeper, Payroll Bookkeeper, DSA/Residential Treatment Bookkeeper, Grants Bookkeeper, AC Services Network Bookkeeper and Accounts Receivable Bookkeeper.
FIVE MAJOR ROLES
Billing
Residential Treatment Billing
Denial Management
ESSENTIAL FUNCTIONS/TASKS/EFFORT
Maintains Accounts Receivable PaymentsFile.
Processes evaluation and therapy billingsfor FCC, Boone, Marshalltown, Nevada & Webster City.
Maintains accounts receivable balances for eachservice location.
Processes accounts receivable payments and prepare bank deposits.
Posts pertinent bank deposits to cash ledger and journals, as well as, Essentials software.
Post denied claims and reason of denial in Essentials.
Prepares Aged Accounts Receivable Report monthly.
Prepares follow-up billings for unpaid Iowa Department of Human Services (IDHS) accounts.
Provides monthly, to CEO, CFO, and service directors, an Aged Receivable Report - (Billed but not Booked Report).
Maintains IDHS service requests and client reference records for Evaluation and Therapy, FSRP and SAL.
Monthly, reviews and processes aged accounts receivable letters for Private Pays as per administrative directive.
Sends Uncollectable Private Pay accounts to Collection Agency per direction of
Prepares and compares accuracy of FSRP Billing for each service location. Responsible for sending monthly based on the current contract.
Provides statistical information for Plans and Program Coordinator, Service Directors, and others upon request.
Maintains billinginvoices and information on all YSS clients in Evaluation and Therapy, FSRP, and SAL.
Processes all billing to DHS for SAL and requests checks for monthly stipends for individual clients.
Actively learn and serve as back-up support for other Billing Specialist with current duties.
Prepare Story County Asset billing based on current year contact.
Prepare Story County, Marshall County and Hamilton County Informal billing monthly, per current year contact.
Prepare a Targets Report monthly based on the data of the direct service staff to be distributed to CEO, CFO and Supervisors.
Serve as a Gatekeeper for Essentials software. Whenever needed, enter funding information and help in resolving issues that deal directly with the accuracy of billing.
Other Fiscal Office responsibilities include:
Attends Finance Committee meetings as requested by the CFO
Attends all staff meetings.
Updates HAT Manual pertinent to job description.
Makes bank deposits as requested by the CFO.
Performs all other assigned tasks as requested by immediate supervisor.
Prepares written Financial Reports as requested by the CFO.
TOOLS AND TECHNOLOGY
Computer (desktop/laptop)
Multi-line telephone system
Copy machine/scanner
Video conferencing equipment
Microsoft Office software
Web Browser software
Database software
POSITION TYPE
This is a full-time, non-exempt position.
TRAVEL
No travel is expected for this position. A valid Iowa driver's license is required.
WORK ENVIRONMENT
The noise level is usually minimal to moderate. Works in well-lighted, climate-controlled environment.
PHYSICAL DEMANDS
Reasonable accommodations may be made to enable individuals with disabilities to perform the physical demands.
While performing duties of the job, the employee is regularly required to stand; walk; may need to sit for extended periods of time; use stairs, as needed; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; talk and hear. Physically move to access all YSS locations. Employee must regularly lift and/or move up to 15 pounds, repeatedly. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. While performing the duties of this job, the employee may be exposed to weather conditions prevalent at the time.
VOLUNTEERISM
This position will engage and assist all YSS volunteers (individuals and groups) adhering to volunteer management best practices to ensure meaningful volunteer experiences. This position will maximize the skills and interests of all YSS volunteers to better impact our organization and the youth and families we serve.
OTHER DUTIES
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
YSS EMPLOYEE COMMITMENT
Commitment to agency core values and mission.
Understand and adhere to accreditation standards, agency policy, and licensing requirements.
Responds in a timely manner to internal and external stakeholders
Understands a culture of Trauma Informed Care, and models positive interactions at all times.