Billing Specialist

Potomac Community Services•Hagerstown, MD

20h•$17 - $19

About The Position

Potomac Community Services has been serving individuals with mental health needs in person and in community for almost 25 years! Literally meeting people where they are and working alongside them, has developed our passion for true, client led community work helping people achieve their goals and achieve sustainable independence. About the Job: Let's start by saying we want to hear from you! Below is an accurate description of the job for hire but with limited space, it isn't exhaustive. If you have questions about other considerations, please don't hesitate to contact us! The Billing Specialist (BS) is responsible for the daily submission of claims to insurance companies and third-party payers while ensuring accuracy in documentation and billing processes. This role involves working closely with case managers to track errors, making sure all necessary corrections are completed before processing. Additionally, the BS monitors client authorizations, maintains department files, and prepares monthly billing reports. The role also includes assisting with payroll, calendar verifications, and handling delinquent accounts receivable (i.e. missing tickets). The position requires maintaining patient confidentiality, providing support with insurance checks, tri-county travel, and performing administrative duties as required. This position requires a modified Monday through Friday schedule that may include evenings and weekends based on agency needs. The BS will work in compliance with programmatic, state, and federal regulations, as well as Potomac Community Services (PCS) policies and standards of practice. They will promote awareness of mental health issues, contributing to reducing the stigmatization of such conditions within the community. Typical Work Week Schedule Monday: 8:00 AM – 6:30 PM Tuesday–Thursday: 8:00 AM – 4:30 PM Friday: 8:00 AM – 2:30 PM Occasional schedule variations may be required based on workload and holiday needs. Pay: $16.75 - $19.00

Requirements

High School diploma or equivalent (required)
Data Entry and Medical Billing Experience or equivalent Medical Office Experience, 1-year experience is preferred
Valid Driver’s license, dependable transportation, current car registration and active car insurance.
Maintains a safe driving record of at least 5 years prior to employment and self-awareness for safety purposes.
Proficient in Microsoft Office Suite Professional with excellent communication skills, written and verbal.
Strong organizational and administrative skills, including but not limited to the ability to manage multiple tasks efficiently, attention to detail, competent typing skills, able to complete work in repetition
Basic Understanding of COMAR regulations concerning mental health services and case management
Knowledgeable regarding community resources related to mental health and case management.

Responsibilities

Submit daily billing claims to insurance companies and other third-party payers.
Ensure the accuracy of documentation, including tickets and notes, within the billing system.
Follow up on case manager errors (ticket/calendar/note) and ensure corrections are made prior to billing.
Monitor client authorizations to ensure continued compliance with billing processes.
Maintain billing department files, ensuring documents are scanned monthly.
Prepare and distribute billing department reports, including the PCS Late Ticket Report and PCS Monthly Ticket Corrections Report.
Assist with unpaid claims and follow up on delinquent accounts receivables.
Ensure the confidentiality of all patient information in compliance with HIPAA and other relevant regulations.
Support Authorization and Insurance checks, if needed.
Provide administrative support, including scanning, faxing, electronic filing, and photocopying, ensuring the accuracy of all information.
Distribute messages, faxes, and other communication to appropriate staff.
Assist in special projects as directed by supervisor or designee.
Prepare correspondence, documents, and reports upon request by supervisor or designee.
BS must be able to work evenings or weekends to meet requirements for billing and payroll as needed due to holidays and PCS closures
Travel to all PCS offices as required to support billing operations.
Perform other related duties as assigned to enhance billing operations and departmental efficiency.
Learns PCS Core Values and demonstrate the application of these values through all areas of work.
Shares knowledge and resource information with coworkers and other PCS staff.
Acts as liaison for PCS with community agencies and other local mental health agencies and providers, promoting positive and effective communication.
Attends and participates in all scheduled monthly staff meetings.
Attends all PCS events and trainings as scheduled.
Safeguards the confidentiality of records in accordance with state and federal laws and regulations governing confidentiality.
Promotes PCS internally and externally in positive and professional manner.
Utilizes PCS resources and equipment appropriately and efficiently, including but not limited to PCS laptop, phone and vehicles.
Maintains good working relationship with other staff members/supervisors and contributes to positive work environment.
Maintains safe driving record and self-awareness for safety purposes.
Maintains confidentiality of staff, clients, and PCS business practices.
Adheres to all PCS published policies including but not limited to: Time & Attendance, (tardiness, absences) and Dress Code (including wearing company ID Badge).
Records time using the approved payroll system, completing calendar as required, in an accurate and timely manner.
Performs special projects and other duties as assigned.