Medicaid Billing Specialist

Job | Posted 3 months ago
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Start Date
09/22/2021
Position Areas
Instructional/Educational Coordination

Description

JOB DESCRIPTION
TITLE
Medicaid Billing Specialist
POSITION TYPE
Part-Time; non-exempt
PRIMARY FUNCTION
The Medicaid Billing Specialist is responsible for the accurate and timely editing, preparation, submission of electronically and manually processed claims to third party payers in accordance with policies and procedures.
MINIMUM QUALIFICATIONS

  • High School Diploma or equivalent and 1-3 years billing experience preferred / associate’s degree in accounting a plus
  • Certified Professional Coder (CPC), Certified Coding Associate (CCA), or the Registered Health Information Technician (RHIT) preferred
  • Strong Microsoft Office skills (Excel, Word, Outlook)
  • Customer-focused both internally and externally
  • Strong attention to detail
  • The ability to multi-task, strong data entry, and excellent written and oral communication skills are required.
  • Previous billing, bookkeeping, or clerical experience a plus
REPORTS TO
Supervisor of Exceptional Education
JOB SPECIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities, who are otherwise qualified, to perform the essential functions.
 
WORKING CONDITIONS AND PHYSICAL REQUIREMENTS AND WORK ENVIRONMENT
The duties of this position are complex and diverse. Successful candidate must have ability to multitask, deal with change and show initiative and assume responsibility for working productively with minimal supervision. Must have ability to sit for extended periods of time in an office environment, see and read a computer screen and printed with or without visual aids, hear and understand speech at normal levels and on the telephone, speak clearly and in audible tones in person and on the telephone, follow oral and written instructions, and be physically agile to lift up  to 25 pounds.
KNOWLEDGE, SKILLS AND ABILITIES
  • Integrity, discretion, and respect for confidentiality and privacy
  • Excellent oral communication skills and the ability to resolve misunderstandings and errors in a diplomatic manner
  • Typing, computing, and data entry skills
  • Good communication, interpersonal, and customer service skills
  • Analytical skills
  • Ability to prioritize and work under pressure
  • Time management
  • Organizational skills
  • Attention to detail
  • Strong spelling, math, and financial skills
  • Documentation skills
  • Typing and data entry proficiency
 
PERFORMANCE RFESPONSIBILITIES
  • Collects Medicaid reimbursements by gathering, coding, and transmitting patient care information.
  • Keeps up to date on information required for remittance of patient care by Medicaid and communicates this information to fellow billing staff.
  • Reviews patient hospital records to check for proper Medicaid coding and completeness and makes corrections accordingly.
  • Analyzes patient billing records for completeness and accuracy and obtains additional information and clarification as necessary.
  • Resolves billing discrepancies by conducting further research and correcting errors.
  • Resolves disputed claims by consulting with state Medicaid administration claims clerks and following up on all bills not processed within usual claim period.
  • Prepares reports based on Medicaid billing data and revenue.
  • Ensures payments by verifying accuracy of Medicaid coding.
  • Bills Medicaid carrier by inputting billing information into databases.
  • Resolves disputed claims by gathering, verifying, and providing additional information and following up on claims.
  • Resolves discrepancies by examining and evaluating data.
  • Adjusts patient bills by reviewing remittance advice and consulting with Medicaid office.
  • Prepares monthly reports of Medicaid billings, adjustments, and revenues received.
  • Participates in professional educational opportunities to keep current on Medicaid billing and reimbursement procedures.
  • Serves and protects the school community by adhering to professional standards, school policies and procedures; federal, state, and local requirements.
TERMS OF EMPLOYMENT
Part-Time / 4 hours per day
240 days / 12 month
   $19.00 / hour
EVALUATION
Performance on this job will be evaluated in accordance with School Board policy and administrative regulations on evaluation of non-licensed personnel.
APPROVED BY SUPERINTENDENT
08/12/2021
JOB DESCRIPTION PREPARED BY
Supervisor of Human Resources 08/12/2021, 05/27/2022
 

Posted By

Charles City County Public Schools

10910 Courthouse Road , Charles City, VA 23030
 

At the following locations

CCPS School Board Office

10035 Courthouse Road , Charles City, VA 23030