Accounting Specialist - Billing

Nicollet County•St. Peter, MN

About The Position

Under the general supervision of the Fiscal Supervisor, the Accounting Specialist supports Nicollet County Health and Human Services staff and programs through complex fiscal, billing, and accounting work. The position prepares and reconciles Medical Assistance and Managed Care Organization billings, monitors revenue, prepares financial and operational reports, and provides fiscal guidance to staff. The work supports accurate billing, regulatory compliance, and reliable financial information for Health and Human Services programs. The role also performs accounts receivable and revenue-processing functions, reconciles accounts and time records, supports budget and grant reporting, and researches billing issues and new billable service areas. It provides training and technical assistance to case workers on billing procedures, documentation, time entry, and claiming requirements.

Requirements

Valid Minnesota driver's license.
Associate degree and one to three years of experience, or an equivalent combination of education and experience sufficient to perform the essential duties.
Ability to listen, comprehend, and communicate effectively in writing and orally with all individuals.
Ability to apply discretion, judgment, and organizational skills.
Ability to perform mathematical computations with or without mechanical assistance.
Ability to prepare accurate financial and other records and reports in a systematic, neat, and legible manner.
Ability to work independently.
Knowledge of applicable state, federal, and local laws, rules, and regulations.
Knowledge of record-retention schedule principles.
Knowledge of medical billing, diagnosis codes, and applicable billing requirements.
Knowledge of accounting principles and general-ledger reporting techniques.
Knowledge of and ability to use computer software sufficient for departmental operations.

Responsibilities

Prepare, review, analyze, submit, and reconcile monthly Medical Assistance and Managed Care Organization billings across multiple Health and Human Services programs.
Maintain and audit exception claims to prevent revenue loss.
Train, guide, and support Health and Human Services case workers on billing procedures, documentation standards, claiming requirements, time entry, and billing updates.
Research and resolve billing discrepancies, claim errors, complex medical billing issues, and compliance issues; determine corrective actions to support timely resolution and claim resubmission or reimbursement.
Process service charges, verify charging information, determine financial-system chart-of-account codes, and initiate claim batches for multiple service systems.
Determine services to be invoiced and review time-reporting data.
Perform accounts receivable functions for the Human Services Department, including preparing receipts, coding revenues for general-ledger entry, recording receipts in multiple computer systems, balancing receipt totals, delivering printed receipts, and editing and correcting documents.
Monitor claims, post receipts, make adjustments, and reconcile the Human Services revenue holding account.
Prepare, review, and collect financial, statistical, accounting, and operational data and reports; disseminate information to appropriate individuals.
Compile, analyze, and forecast annual financial and operational data to assist with budgeting and preparation.
Compile, reconcile, and audit monthly social worker time records and billable claims; investigate discrepancies, verify client billing activity, and ensure accurate time-entry documentation.
Compile and analyze financial information and maintain spreadsheets for monthly, quarterly, and annual grant reports; research data and verify report accuracy and completeness before deadlines.
Perform monthly bank reconciliations for Child Support and Social Welfare Fund accounts.
Conduct research, data analysis, and statistical reporting using spreadsheets, databases, and operational logs to support departmental planning and compliance.
Research and implement new DHS-approved billable service areas by developing claim preparation, review, submission, and reconciliation processes.
Provide backup support for essential fiscal staff functions.