LTSS Specialist II

Billing Support

• Maintain collaborative relationships with internal teams to ensure an efficient and effective LTSS billing process.
• Prepare and distribute billing reports, highlighting areas where scheduled service units do not align with recorded service units.
• Support Finance at billing submission and respond to issues raised during the billing process.
• Identify patterns associated with billing process delays and develop mitigation procedures.
• Monitor LTSS for billing exceptions, alerting appropriate team members to outstanding issues.
• Collaborate with internal team members to investigate and resolve billing exceptions.
• Adjust previously submitted billing claims in LTSS as required to align with outcome of investigation or changes in approval status.
• Track status of implemented billing resolutions until pending claims are paid or discarded, as appropriate.

Documentation and Recordkeeping

• Regularly produce reports which compare scheduled and approved units to reduce delivery of unfunded services.
• Prepare employee evaluation reports and provide to supervisors when needed to address documentation issues.
• Ensure written records which meet identified standards and include accurate data that supports funding requirements are maintained as required.
• Perform regular reviews to ensure compliance with policies and procedures.

Qualifications

• Master’s degree plus two years of relevant professional experience, or bachelor’s degree plus four years of relevant professional experience, or high school diploma plus eight years of relevant professional experience.
• Thirty credit hours may be substituted for one year of experience.
• Experience working with the Maryland Developmental Disabilities Administration’s LTSS billing system or with a Medicaid provider database system (preferably CIMS).
• Proficiency across the MS Office product suite.
• Commitment to a high standard of ethics and protecting confidential information.
• Effective verbal and written communication skills and computer skills.
• Ability to read and write fluently in English and have a good understanding of the English language.