Billing Specialist

At Rise, we believe that everyone deserves opportunities to live a life filled with purpose and pride. In our employment, housing, and life-enrichment services, we support people to set and achieve their personal goals. As a nonprofit, every Rise team member is driven by our mission. That shared commitment is the foundation of a workplace that embraces a culture of learning and growth by offering extensive training, competitive salaries, and a fun work environment. We are an inspiring leader in disability services that wants to make a real difference in people's lives!

Job Summary:

This position is responsible for medical billing, collection and accounts receivable procedures in a timely and accurate manner. Communicates with program staff regarding billing and collection matters. Assist with industrial billing for services performed.

Essential Duties:

Key Expectations

• Standards of Excellence Commitment: All Rise employees are expected to commit to, sign and follow-through on Rise's Standards of Excellence. Refer to "Standards of Excellence Commitment" document. In the Employee Handbook.
• Person-Centered Practices: Learn and consistently perform person-centered practices: Identify those things that are important to people who receive support; implement strategies to assure they are present in day-to-day life. Identify areas where change can happen without permission. Act on those areas.
• Communication: All Rise employees are expected to communicate effectively with other staff, external stakeholders and people we serve in a respectful and timely manner. This includes but is not limited to reading and responding to email in a timely manner, answering and responding to phone calls and voicemails, foster open communication; listening to others; preparing professional written communications as needed.

Essential Functions:

• Use the billing software to help prepare invoices (including credit memos & adjustments) in accordance with state, county and payer-specific requirements.
• Perform pre-billing checks and audits for accuracy.
• Work with program staff and other Billing Specialist to help manage the workflow in Netsmart software to ensure service transactions are accurately processed and billing timely.
• Work with program staff and other Billing Specialist to help manage service agreements and authorizations.
• Review AR aging report and detailed balances by customer. Investigate rejected claims, work with program staff and external payers to resolve issues.
• Maintain working knowledge of current medical billing requirements and practices.
• Maintain working knowledge of the Netsmart billing system.
• Serve as a backup to the billing team including industrial billing and assist with monthly reporting and meetings
• Build and maintain effective working relationships with customer, internal contacts and other stakeholders.

Non-Essential Functions:

• Maintains accurate and organized supporting documents and files.
• Performs other duties as assigned.

Position Requirements:

Key Competencies

• Service-focus - focus on customer (internal and external) needs
• Interpersonal skills - positive behaviors; build relationships; value diversity; manage disagreements; act with integrity; demonstrate adaptability; show work commitment
• Self-management - use time effectively and efficiently; concentrates efforts on the most important priorities; adeptly handles several tasks at once.
• Compassion - genuinely cares about people; is available and ready to help; demonstrates real empathy with the joys and pains of others
• Perseverance - pursues tasks with energy, drive, and a need to finish; does not give up before finishing, even in the face of resistance or setbacks; steadfastly pushes self and others for results.

Required Education, Experience, and other Qualifications

• Four years of medical billing experience or equivalent combination of relevant education and /or experience.
• Highly organized and able to prioritize and manage time effectively.
• Excellent problem-solving, analytical, verbal, and written communication skills.
• Excellent customer service skills
• Excellent attention to detail and accuracy
• Advanced Excel and Word skills
• Ability to independently establish and complete work schedules and meet deadlines
• Technology skills: Proficient with Microsoft Office software (Outlook, Word, etc.). Case management - Learn software system and become proficient

Preferred Education, Experience, and other Qualifications

• Two year accounting degree
• Proficient with medical billing software systems

Working Conditions and Environment:

Hours of Work

• Hours of work are typically daytime, Monday through Friday

Work Environment

• This job operates primarily in a work from home and sometimes Rise's office environment.

Physical Demands

The physical demands described here are representative of those that must met by a team member to successfully perform the essential functions of the job.

• The team member frequently is required to twist, stoop, bend, reach, pull, push, stand, sit and walk for up to eight hours per day.

Benefits

Wage: $43,190.97-$52,000.00 annually, depending on qualifications

• Medical insurance - single employee coverage less than $90/month
• Dental insurance less than $17/month
• 401(k) with a 100% vested employer match
• Vision insurance
• Life insurance
• Flexible Spending Account (FSA)
• Paid Time Off (PTO) starts at 16 days per year, plus paid and floating holidays
• Additional Benefits available including disability insurance and more!

Are you looking to work with a diverse team of professionals? Do you want to work in a fun environment while supporting others to live a life of possibilities? Then join Rise, Inc.!

Rise values being a person-centered organization. This impacts how we carry out services for the people we support and our organizational culture. We encourage people's unique individual differences and celebrate the ways our team members contribute to our community. We believe in a workplace informed by differing viewpoints and perspectives created from a diverse team and welcome people of all races, genders, ages, nationalities, religions, sexual orientations, and backgrounds to apply. Our goal is that those we serve, and our team members always feel valued and respected.