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 payers
Review and add provider credential modifiers for billing software to assign appropriate charge amounts
Initiate billing system data updates to apply missing and corrected data
Review and correct errors and omissions in episode entries (diagnosis codes, time durations, charge roll-ups) through program staff e-communications
Inform 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 payers
Prepare and issue invoices to private-pay clients
Prepare and mail monthly statements to clients with outstanding balances
Create monthly A/R aging report and provide to revenue cycle coordinator
Prepare Private Party invoices
20% - Data Correction
Modify client insurance information to direct billing to appropriate payers
Correct episode notes (Records Quality Management)
Correct addresses on returned mail in billing system
10% - Billing Denial Management
Determine the billable charges for each third party payer and maintain clients' payer files in billing system to reflect those services
Inquire regarding denial of payment from third party payers
Resubmit 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-up
Create past month's program staff documentation summaries and distribute to supervisor
5% - Other duties as assigned
Allocate monthly Motor Pool mileage into summarized data by program for journal entry creation
Allocate monthly cell phone charges into summarized data by program for journal entry creation
Aid 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 terminology
Excellent analytical, computational, and basic math abilities
Proficient in computer skills, including MS Outlook, MS Word, MS Excel, and accounting software
Proficient data entry skills with attention to detail
Understanding of Human Service programs, HIPAA privacy standards, and trauma-informed care; need for level of integrity due to nature of work performed by department
Professional 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 keyboard
Ability to use standard office equipment
Working conditions:
Low noise level in an office setting
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