Billing Specialist

CHANGEPOINT INTEGRATED HEALTH

  JOB DESCRIPTION

TITLE:  ADMINISTRATIVE BILLING AND ENROLLMENT SPECIALIST

STATUS:  NON-EXEMPT

LINES OF AUTHORITY: This position is supervised by the Administrative Billing Supervisor.

POSITION SUMMARY: The Administrative Billing and Enrollment Specialist assists the Billing Team in the system wide Billing and Accounts Receivable procedures and helps coordinate all ChangePoint system wide functions associated with the operations of the customer enrollments, updates, disenrollment, electronic data interface functions and any other requirements of ChangePoint and/or HCIC in the enrollment area.

PRINCIPLE DUTIES/RESPONSIBILITIES:

  1.  Adhere to personnel policy and comply with agency requirements for ethical

  and professional behavior.

  2.  Assist as needed with scheduled claims runs.

  3.  Assists with ChangePoint's system wide HCIC enrollments, Non-HCIC

enrollments, crisis enrollments, updates, financial updates, disenrollment as

    needed and any other requirements of ChangePoint and/or HCIC.

4.  Performs system wide billing and accounts receivable applications for all

  sources of payment to include HCIC, County, Insurances and Private

  Pay.

  5.  Performs as needed backup for running ChangePoint edits for

Enrollments/Disenrollment's submitted through the EDI process.

6.  Assist in the development of procedures and provide training to sites

    related to the confirmation of eligibility for services, preparation of financial

  agreements and inputting of service authorizations of potential TPL/Self Pay

  customers.

7.  Trouble shoot problems and discrepancies in cash applications and billing

  programs.

  8.  Assists enrollment/disenrollment personnel in assuring HMS enrollment's

are complete in order to clear EDI. 

  9.  Assist in cleaning up reports as identified need is found. Such as

  Demographics, No EOC, and void and replace, denials of payment.

10.  This position requires positive and active support of the company, the

  customer and the co-worker.

  11.  Promotes quality and safety to help maintain a safe and pleasant work

  environment, follows safety regulations, and actively contributes towards a

  safe workplace.

 12.  Participate in quality management and quality improvement activities.

 13. Performs other duties as assigned by the Supervisor.

PRIMARY CONTACTS:

Frequent interaction with administrative and center wide personnel.

POSITION REQUISITES:

 Qualifications And Experience

  Required:

High school diploma/GED.

Understanding of Pre Packaged Software Program (HMS, etc.) a plus.

Valid Arizona Driver's License.

Comply with a drug free workplace.

Effective time management.

Ability to work forty (40) hours per week.

Fingerprint Clearance

 Skills/Abilities

Required:

  •   Fluent in English both verbally and in writing.

  •   Literate.

  •   Able to prioritize own workload.

  •   Able to effectively employ analytical and problem-solving skills.

  •   Able to type accurately; perform numeric calculations; computer skills.

  •   Phone courtesy and customer service skills.

WORKING CONDITIONS:

 Physical Requirements

  Sitting for extended periods of time at a desk/computer; less frequently, walking,

  lifting and reaching.

  Visual capacity necessary to fulfill documentation, responsibilities of job.

  Able to hear ordinary conversation and phone communications.

 Equipment Operation

  Able to correctly use office equipment (e.g.: calculator,  copier, PC/word processor,

  fax) and trouble shoot common office equipment problems.

  Able to employ multi-line telephone system.

 Environmental Conditions

  Air conditioned and/or heated office setting.

 Accommodation(s)

  Will accommodate as appropriate and reasonable.

CONFIDENTIALITY LEVEL:

I understand that State and Federal Laws strictly prohibit unauthorized access, use, modification, disclosure, or destruction of confidential, sensitive or protected health information.  Penalties for violation may include ChangePoint disciplinary action, including termination of employment, and/or criminal or civil action.