Billing Specialist

Description

General Description:

The Billing Specialist will provide support to the Counseling Center Clinic Manager assisting in payment processing as well as providing backup billing and reception services. Primary responsibilities include applying payments and adjustments, verifying billing codes, processing and submitting claims.

This role also provides support to the Youth and Family Services Program. Responsibilities include billing and payment processing for Wraparound services and communicating with Medicaid payers as well as commercial insurance companies. 

Benefits:

• Medical
• Dental/Vision
• 401(k) retirement savings program
• Paid Sick and Vacation
• 13 Paid Holidays per year
• Direction Service qualifies for the Public Service Loan Forgiveness (PSLF) program
• And More!

Reasonable Accommodations:

To perform this job successfully, an individual must be able to perform each job duty/responsibility satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions.

Supervisory Responsibilities:

• None

Duties / Responsibilities:

• Creates and bills Wraparound claims.
• Applies Counseling Center payments and adjustments using ECR, Carelogic. Working closely with the Counseling Center Clinic Manager to address errors and unpaid claims.
• Provides backup billing for the Counseling Center using Carelogic. Including verifying billing codes, processing claims through ERC and submitting both paper and electronic claims.
• Provides backup reception for assessment intakes at the Counseling Center. Including greeting clients, verifying insurance claims, answering questions and enrolling clients in the ECR.
• Communicates with Medicaid payers including DMAP, PacificSource and Trillium as well as commercial insurance companies.
• Performs other related duties, as assigned.

Requirements

Necessary Knowledge, Skills, and Abilities:

• Performs work accurately and thoroughly within timelines.
• Ability to use discretion and maintain confidentiality regarding sensitive client and company information.
• Ability to follow legal/ethical guidelines for the profession.
• Ability to make critical decisions while following Direction Service procedures.
• Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type/status.
• Ability to problem solve and deal proactively with work-related problems.
• The ability to maintain a professional image and carry out duties in a professional manner.
• The ability to show consideration for and maintain good relations with others.
• The ability to become proficient in multiple web-based insurance platforms.

Minimum Position Requirements:

• High school diploma or equivalent required.
• Understanding of HIPAA and confidentiality.
• Proficient in 10 Key/data entry.
• Proficient in the use of standard office equipment, computers, and computer software such as Microsoft Office Suite or similar software. Ability to learn other computer software programs as required by assigned task.
• Employment contingent on a satisfactory Criminal History Check as required by the State of Oregon (OAR 407-007-0200 to 407-007-0370) and as deemed acceptable by Direction Service.

Preferred Qualifications and Skills:

• Minimum of two years prior experience in medical billing.
• Education, training, or experience in related fields (business and medical office systems). 

Working Conditions / Physical Demands:

Most of the work completed is in an office environment with exposure to moderate levels of noise in a well-lit and moderately paced environment. While performing the duties of this job, the employee is continuously required to sit, stand, walk, hear and/or respond to verbal/audio cues, see and/or respond to visual cues perform repetitive motions of hands and wrists, and read computer screen. Additional physical requirements may include reaching with hands and arms, stooping, kneeling, crouching, and climbing up stairs. Must be able to lift up to 15 pounds at a time. 

Direction Service is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment that is free of harassment, discrimination, or retaliation because of race (including physical characteristics that are historically associated with race , including but not limited to natural hair, hair texture, hair type and protective hairstyle color), color religion, sex, sexual orientation, gender, gender identity, age, national origin, genetic information, marital status, veteran status, disability, or other characteristics protected under local, state, or federal law. Direction Service is dedicated to the fulfillment of this policy regarding all aspects of employment, including but not limited to recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment.    

Salary : $24