Accounting Specialist

SUMMARY:

Under the supervision of the Billing Accounting Manager, this position is responsible for processing, recording and managing billing and related documentation for Medicaid billing in accordance with established policies and procedures, as well as State of Alaska requirements.  This includes maintaining participant billing files in accordance with agency, state and federal requirements.  This position is also responsible for some light accounting.

DUTIES AND RESPONSIBILITIES:

1. Maintain Medicaid Plan of Care information, including service authorizations and units, for assigned programs and/or recipients.  
2. Perform quality review of documented Medicaid service provision, including:
   1. Verifying unit availability
   2. Ensuring billing notes and associated documentation is in compliance with agency, state and federal requirements
   3. Follow up on corrections, if necessary
3. Enter data into electronic Medicaid billing system.
4. Post Medicaid receipts against billed data
5. File billing related data and ensure recipient files are maintained according to agency guidelines.
6. Research and follow up on Medicaid billing differences by verifying discrepancies, denials, and resolving billing issues.
7. Provide analysis of Medicaid billing data.
8. Ensure proper boxing and filing of archived Medicaid billing documents according to agency procedures, state and federal requirements.
9. Assists in preparing monthly financial statements.
10. Handle all records or portions of records in a confidential manner.
11. Ensure proper disposal of records once their retention period has passed, in accordance with agency procedures, state and federal requirements.
12.  Assist with receptionist duties covering lunches, vacations and other times as necessary.
13.  Consistently seek ways to improve processes, reduce paperwork, and maximize efficiency for the agency.
14. Processes billing information into electronic medical record, in accordance with agency procedures, state and federal requirements.
15. Responsible for monthly rent invoices and chore service billing.
16.  Utilizes an electronic medical record to track service authorizations, units and other services related to billing.
17.  Attends training sessions, in-service seminars, and workshops and staff meetings.
18.  Responsible for maintaining training compliance in accordance with FRA policies and procedures, state and federal regulations.
19.  Performs other duties, as assigned.

MINIMUM EDUCATION AND EXPERIENCE:

1. High School diploma or equivalent.
2. Two years training and experience in office procedures
3. Two years’ experience in billing, Medicaid billing preferred.
4. Must meet agency insurance criteria for operating agency and personal vehicles on agency business (21 y/o and licensed 3 years).

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

Skill in the use of computers and related software applications including Microsoft Office products. Knowledge of Alaska Medicaid regulations, requirements, and billing.  Ability to maintain confidentiality regarding participant records and information.  Ability to gather data, compile information and prepare reports.  Ability to work cooperatively and efficiently with agency personnel and general public. Ability to perform duties with attention to detail, thoroughness and accuracy. Must have reliable transportation and maintain a good driving record. Must possess the knowledge and ability to utilize a computer and electronic medical record (EMR) system. Ability to learn new software and hardware applications.

LICENSES/CERTIFICATIONS REQUIRED:

Alaska Driver’s License

IMMUNIZATION REQUIRED:

Annual PPD Test

WORKING CONDITIONS:

Medium Work:  Exerting up to 50 pounds of force occasionally and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

PHYSICAL ACTIVITIES:

Reaching:        Extending hand(s) and arm(s) in any direction.

Lifting:            Raising objects from a lower to a higher position or moving objects horizontally from position-to-position.

Repetitive Motions:  Substantial movements (motions) of the wrist, hands, and/or fingers.

Driving:           Minimum standards required by State Law (including license).

ENVIRONMENTAL CONDITIONS:

None:              The worker is not substantially exposed to adverse environmental conditions (such as typical office or administrative work)