Billilng Specialist

Imagine!

25d

About The Position

Purpose of Position- This role is responsible for analyzing billing data, identifying trends, finding solutions for billing issues and improvements for billing processes. Manages the Service Authorization process in Imagine!’s Electronic Health Records system (EHR) for timely and accurate billing. Responsible for the analysis, design, implementation, and follow-up of billing practices and resolution related to Service Authorizations. Responsible for collaborating with Imagine! programs for accurate and timely billing. Responsible for the development of billing policies and systems related to service authorizations.

Requirements

Effective written and verbal communication skills with individuals and groups at all professional levels.
Knowledge of relevant policies, practices, and processes.
Demonstrated organizational and time management skills.
Ability to work independently and prioritize tasks/goals for self.
Ability to work effectively with various technology including word processing software, internet-based databases, etc.
Intermediate to advanced knowledge of Excel.
Demonstrated attention to detail.
Effective and creative negotiator and problem solver.
Ability to develop a general, working knowledge of the program in order to evaluate quality.
High school diploma required.
2+ years’ experience in billing, finance, or accounting analysis required.
3+ years of professional experience with Microsoft Excel required.
2+ years experience in field of Medicaid billing strongly required.
Effective with shifting roles, responsibilities, and expectations in a changing environment.
Ability to work effectively under the pressure of deadlines.
Office environment

Responsibilities

Responsible for accurate and timely service authorizations in the company’s EHR.
Discharges individuals from program enrollment per company guidelines.
Collaborates with programs to update service authorizations for accuracy.
Understands Medicaid billing codes and modifiers and impact on the billing processes.
Understands the billing needs of Imagine! services, including how each task/process fits into the overall billing process.
Monitors performance data and reports outcomes by creating and/or using current reporting templates.
Ensures data tracking is complete, accurate, and within regulatory compliance.
Make sure all tasks/processes are documented using established format and that the documentation is used, updated as needed and current.
Supports billing team cross-training efforts, provides back up and shares team workload.
Responsible for planning and proactively managing overall workload and foreseeing potential opportunities and problems.
Designs and maintains spreadsheets, queries, or reports as required for key performance indicators.
Leads billing-related and state audit requirements.
Provides billing assistance to a variety of internal and external stakeholders, which may include Business Operations and IT team members and supervisors.
Fulfills document management activities and supports integrity efforts in billing-related data systems.
Supports Manager - Billing in planning, delegating, and completing special projects, as necessary.
Various projects or clerical duties, as needed.