Position Details

Billing Specialist

                                                                             

Job title

 Billing Specialist

Status

Non Exempt

Lines of Authority

This position is supervised by the CFO.

Position Summary

We are seeking a detail-oriented and organized Billing Specialist to join our team. The ideal candidate will have a strong background in billing and coding, with a comprehensive understanding of medical and behavior health terminology and the billing process. This role is essential for ensuring accurate billing and collections, as well as maintaining the integrity of records.  

Duties and Responsibilities

  1. Process and manage billing for various services rendered, ensuring accuracy and compliance with regulations.
  2. Review patient records and documentation to ensure all necessary information is included for billing purposes.
  3. Utilize knowledge of ICD-9 and ICD-10 coding systems to accurately code diagnoses and procedures.
  4. Conduct medical collections by following up on outstanding accounts receivable and resolving billing discrepancies.
  5. Collaborate with healthcare providers to clarify any issues related to medical records or billing.
  6. Maintain up-to-date knowledge of DRG (Diagnosis Related Group) systems and their impact on billing practices.
  7. Assist in the training of new staff on billing procedures and software systems.
  8. Ensure compliance with all relevant laws, regulations, and policies related to medical and behavior health billing.
  9. Adhere to personnel policy and comply with agency requirements for ethical and professional behavior.

10.  Participate in quality management and quality improvement activities.

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.  This position requires positive and active support of the company, the customer and the co-worker.

13.  Performs other duties as assigned by supervisor and/or the CEO or CFO.

 Primary Contacts

?    Frequent interaction with administrative and center wide personnel.

Position Requisites

 Qualifications and Experience

Required:

  • High School Diploma or GED
  • Proven experience in medical or behavior health billing or a related field is required.
  • Strong knowledge of medical coding (ICD-9, ICD-10), medical terminology, and DRG systems.
  • Familiarity with medical office operations and electronic health record (EHR) systems is preferred.
  • Excellent attention to detail with strong analytical skills for problem-solving.
  • Ability to communicate effectively with patients, healthcare providers, and insurance companies.
  • Strong organizational skills with the ability to manage multiple tasks efficiently.
  • Certification in medical coding or billing (e.g., CPC, CCS) is a plus but not mandatory.
  • Experience in supervision of Billing Department
  • Valid Arizona Driver's License.
  • Comply with a Drug Free workplace.
  • Have or be able to obtain Fingerprint Clearance Card.

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.

?  Effective time management skills.

?  Able to work forty (40) hours per week.

Preferred:

?  Able to travel occasionally.

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.

I certify that I have read and understand my job description and the above Employee Confidentiality Statement

_____________________________________  ___________________

Billing Specialist    Date

_____________________________________  ___________________

Supervisor   Date