Clinic Administrative Services/Billing Specialist

Gallatin County•Bozeman, MT

About The Position

This position is part of the administrative team in the Human Services office of the Gallatin City-County Health Department. It supports both the administrative and financial accounting teams, conducts billing and accounts receivable procedures for various insurance providers, and provides administrative support to Human Services programs and the front desk. The position reports directly to the Administrative Team Supervisor and Human Services Director and does not supervise other County personnel. The role works closely with the Accounting Technician on billing services, accounts receivable, insurance contracts, payer agreements, and claim issues. It also provides front-desk coverage, supports the Immunization Clinic, and performs program data entry and other administrative duties. County employees may be required to provide services during a locally proclaimed emergency and during the subsequent assessment and recovery period.

Requirements

High school graduation plus three years of experience in business or front-office functions demonstrating the required competencies, or a work-related vocational program certification plus one to two years of experience with billing procedures, medical insurance billing, and claims processing.
Computer and data-entry skills, including Word, Excel, PowerPoint, and specialized programs.
Knowledge of data and records management.
Excellent grammar and spelling skills and proficient written and verbal communication skills.
Ability to prioritize tasks according to deadlines, work independently, and follow instructions.
Ability to multitask and seek appropriate guidance when needed.
Ability to schedule meetings, reserve rooms, acquire supplies as needed, and maintain confidentiality.
Office-setting experience, including trips to other departments to conduct administrative work.
Experience in accounting/bookkeeping and insurance billing procedures, with attention to detail and analytical skills.
Self-initiative and ability to work as part of a team.
Customer-service skills and ability to deal effectively with the public and insurance companies, including in stressful situations.
Ability to perform highly detailed work amid constant interruptions and concurrent tasks.
Ability to meet the department's organizational competencies, including continuous quality improvement, inclusion, teamwork, communication, reliability, organization, integrity, motivation, productivity, and purpose.
Ability to meet the listed job-specific public health competencies in analytical and assessment skills, program planning, communication, cultural competency, community practice, public health sciences, financial planning and management, and leadership and systems thinking.
Successful completion of a criminal and driving background check as a condition of hire.
Applicants must be prepared to attach a cover letter, resume, and three references to the online application.

Nice To Haves

Experience working with commercial insurance and/or third-party administrators.
Experience interpreting insurance contracts and handling credentialing and recredentialing.
Willingness to work closely with the Accounting Technician to research and resolve denied, rejected, and underpaid claims.

Responsibilities

Bill appropriate services and manage accounts receivable, including receipts, invoicing, accounting, and billing to insurance companies, in coordination with the Accounting Technician.
Maintain and monitor insurance contracts and payer agreements with the Accounting Technician.
Keep accounts receivable current, analyze recurring claim problems, and identify opportunities to improve billing processes.
Identify credentialing issues that may affect claim payment or network participation.
Prepare timely bills for patients/clients, Medicaid, and other third-party providers; review final bills for accuracy against specific requirements.
Identify and document reimbursement discrepancies.
Respond professionally and promptly to billing questions from employees, patients/clients, and third-party payers.
Track, follow up on, and collect overdue private-pay accounts.
Prepare detailed notes on patient account status and transactions, and document billing and collection activities appropriately.
Enter billing invoices and patient/client and third-party billing information into the Health Department billing database system.
Refer members of the public and patients/clients to appropriate resources for other financial assistance programs.
Provide front-desk backup, including scheduling appointments, checking in patients, answering the telephone, and related office duties.
Provide administrative support to the Immunization Clinic.
Enter program data and assist with chart management and filing as needed.
Perform other assigned duties, including participating in special projects, covering for other employees, taking part in ongoing training, and electronically accounting for work time at the end of the workweek.
Provide services during a locally proclaimed emergency and the subsequent assessment and recovery period if required.