Billing Specialist

Essential Duties And Responsibilities

• Prepares and submits clean claims to various insurance companies, and state funders either electronically or by paper.
• Processes payments from insurance companies.
• Completes pre-authorizations for insurance companies.
• Assumes responsibility for computer entry of all client data/transactions related to client case openings, changes, deletions, services, and closings submitted by all Harbor Light Units of services.
• Occasionally assumes receptionist responsibilities for the Outpatient Clinic, including receiving, informing, and directing self-referred and scheduled patients; handling telephone inquiries.
• Completes front office work such as typing, answering telephones, copying, delivering mail, and entering closing information at the end of each month.
• Fills out and maintains filing systems and records related to job responsibilities.
• Checks DARTS and Medicaid status for accuracy, prints out copies, and informs the Office Coordinator of any problems.
• Performs other duties as assigned, including special projects.

Reporting Relationships

This position reports to the Billing and Office Manager. In contacts related to this position’s duties, this individual acts as a representative of The Salvation Army and its mission.

Performance Measurements

This individual will be evaluated on how effectively the outcomes of this position are achieved, as well as the timeliness, accuracy, and completeness of accomplishing assigned goals.

Education/Experience

• A high school diploma or GED equivalent is required.
• At least two years of experience in secretarial and office work, with computer operation, and two years of experience in insurance billing are required.

Competencies

• A commitment to the mission of The Salvation Army.
• An ethical ability to work with confidential material.
• An interpersonal style that is service oriented as well as anticipates and responds to the needs of client departments.
• A flexible style that also displays a willingness to learn.
• Able to work as a team member as well as independently.
• Able to work at a fairly fast pace.
• An excellent attention to detail, procedures, processes, and policies.
• A communication and management style that exhibits the principals and values of the Army as well as fosters team relationships and effectively communicates information.
• A demonstrated ability to manage projects, priorities, and programs in a constantly changing environment.
• Knowledge of medical insurance billing practices.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Knowledge of business office procedures.
• Ability to operate a computer and basic office equipment.
• Ability to operate a multi-line telephone system.
• Ability to read, understand, and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients, employees, and the public.
• Must be well organized and detail oriented.
• Must have a strong sense of integrity and be able to work with confidential material.
• Competent in all basic computer programs, typing, and filing.
• Strong English grammar skills.
• Be able to handle people with courtesy and mature judgment.
• Be able to work cooperatively with superiors and other employees.

Position Limitations

This individual will only commit Salvation Army resources that have not been allocated or approved.

This individual will keep the Billing and Office Manager informed on all critical issues relating to his/her area of responsibility.

This individual will adhere to all Army policies and procedures in carrying out the responsibilities of this position.

Physical Demands/Work Environment

• This position is required to do light physical work.
• In order to successfully perform the essential functions of this position, the employee is regularly required to use standard office equipment and PC.
• Must be able to walk up two flights of stairs and lift up to 25 lbs.
• The work environment for this position includes an office environment with a low noise level.
• Must be able to work with clients that have poor social skills, suffer from mental illness, and have substance abuse problems.