What are the responsibilities and job description for the Medical Biller position at Goodwill Easter Seals Miami Valley?
Do you have a desire to work for an organization driven by empowerment and full inclusion? Goodwill Easterseals Miami Valley is one of the largest employers in the region; with the mission to empower those with disadvantages and disabilities to improve their quality of life. We employ over 600 associates just in our retail stores alone. GESMV also offers over 40 programs and services to the community ranging from job readiness programs to assistive technology services. We offer part-time and full-time positions, with a variety of schedules and hours available. We are always looking for driven, enthusiastic people to join our team.SummaryTo assist the Accounting Manager in the record keeping and financial reporting requirements of this Agency. Must have good solid accounting skills.
- Essential Duties & Responsibilities
- Primary responsibility for producing and submitting claims to multiple funding sources, including the State of Ohio, Medicaid, and Medicare for various programs.Work directly with operational management in reviewing, appealing unpaid or denied claims within the standard billing cycle timeframe.Maintain CareLogic software for behavioral health billing files.Responsible for billing Senior Adult Care and specialty services.Verification / Knowledge of participant authorization for services, via multiple websites, including MITS.Keep up to date with the various funding sources rules and regulations concerning billable items.Other duties may be assigned.Must maintain the ability to pass a criminal background and drug screen.Comply with all Agency policies, procedures and safety standards throughout work areas and maintain same to meet CARF, HIPAA, Department of Labor and other regulatory standards.
- Supervisory Responsibilities
- None
- Education Requirements
- Minimum requirements are a High School Diploma.Some college education preferred.Experience RequirementsFive years' experience in Medicaid billing and reimbursement.Knowledge of the Ohio Medicaid website and Managed Care Plans.Knowledge of Microsoft Office products, including Excel spreadsheets.
- Qualifications
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.The requirements listed below are representative of the knowledge, skill, and / or ability required.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Must maintain the ability to pass a criminal background check and random drug screens.Skills & AbilitiesMust be able to work independently with little direct supervision as well as have the ability to work cooperatively as a team member.Must be able to follow through with projects and assignments in a timely and efficient manner.Ability to deal with daily operational challenges in a fast-paced environment.Must have working knowledge of Microsoft Office products, including Excel spreadsheets.Must possess excellent customer service, organizational, writing, and reading skills.Must possess excellent interpersonal skills with the ability to relate well with a broad spectrum of people; including consumers and employees.Must be self-motivated.Numbers-Detail.Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made
