Billing Specialist II

General Functions

Job Purpose: This position is responsible for all aspects of billing and collection for designated programs, including preparing and issuing invoices and statements, recording revenue, applying payments, and reviewing account and performing account follow up and rebilling.  This role is an integral part of the Accounts Receivable Team and a key component of the revenue cycle.  

Essential Job Functions:
(Reasonable Accommodations may be made to enable individuals with disabilities to perform these essential functions.)
•    Create invoices and statements for designated accounts
•    Accurately record revenue in accounting software from underlying source files, reports, and systems.
•    Record and track deposits, apply payments, and reconcile balances to general ledger. 
•    Review accounts receivable aging for assigned programs and follow up on outstanding balances and denials, working with programs to obtain additional information, if needed, to reprocess claims for payment.
•    Actively participate in accounts receivable review meetings for assigned accounts
•    Assist other team members with related functions, as needed.
•    Maintain timelines for month end close and other reporting responsibilities.
•    Remain current on all filing of documentation – both electronic and paper formats.
•    Respond to customer inquiries.
•    Act as a backup to the Accounts Receivable Manager with month end close reconciliation.
•    Act as a backup to the Billing Specialist I, Cash Application Specialist & Follow-up Specialist.
•    Act as a backup for processing incoming and outgoing mail.
•    Perform other related duties as assigned.
 

Experience and Skills

1. 
   Required Education, Experience, Certifications, Licensure and Credentials: (Where appropriate, education and/or experience may be substituted)

   Minimum Required Education:  high school diploma or GED equivalent degree; Associate’s or Bachelor’s degree in Healthcare Administration preferred
   Related work experience with comparable responsibilities may be substituted in lieu of educational requirements

   Minimum Required Experience:  Two years minimum of accounting and billing/collection experience.

   Knowledge – Skills – Abilities:
   •    Working knowledge of IRIS and Family Care long term funding streams preferred
   •    Knowledge of ICD-10-CM, CPT, and HCPCS preferred
   •    Highly proficient in Microsoft Word and Excel (Pivot Tables, Formulas, VLOOKUP’s)
   •    Excellent verbal and written communication skills
   •    Ability to multi-task, self-manage, organize and prioritize duties and functions
   •    Ability to maintain strict confidentiality
   •    High degree of ethics and integrity
   •    Accountability and Dependability - Takes personal responsibility for the quality and timeliness of work, and achieves results with little oversight
   •    Customer Focus - Builds and maintains customer satisfaction with the products and services offered by the organization
   •    Teamwork - Promotes cooperation and commitment within a team to achieve goals and deliverables

   
   Physical Requirements, Visual Acuity, and Work Conditions: 

   Physical Requirements: For occasional processing of mail, may need to lift to 10 pounds. Position does a majority of work seated at a computer terminal.  Requires ability to operate multi-function scanner, copier, fax machine for document processing. seated at a computer terminal for extended periods of time.

   Visual Acuity: The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal.

   Working Conditions: No adverse environmental conditions noted.  The rest applies.  Consider indicating typical work hours between 7:00 am and 5:00 pm Monday thru Friday.  Schedule to be negotiated with department director.  
   **Most team members have slightly varying schedules after fully trained and able to function independently.  All are Mon-Fri with a consistent daily schedule communicated and agreed to by AR Manager.  Team members’ individual start times vary.
    

This is a general outline of the essential functions of this position and shall not be construed as an all-inclusive description of all work requirements and responsibilities that may be inherent in this position. The employee may be required to perform other job-related duties as requested by the designated work leader(s). All requirements are subject to change over time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

CFI is an Equal Opportunity/Affirmative Action Employer and promotes a Drug Free Work Environment