Specialist - Billing (Finance)
QUALIFICATIONS:
- High school diploma or equivalent recommended.
- Minimum of two (2) years' experience in behavioral health care billing using electronic billing systems (Electronic Medical Record) – or equivalent type of medical billing.
- Working understanding of Accounts Receivable and related areas – invoicing, cash receipts and aging reports.
- Ability to type accurately (50 words per minute) utilizing computers.
- Working knowledge of MS Word, Excel, and other general computer applications.
- Experience using various financial software billing applications.
- Must have a valid driver's license.
- Ability to identify with the agency Mission Statement and support the agency's Core Values.
- Must have acceptable PA State Police clearance, PA Child Abuse History clearance and FBI clearance.
CORE COMPETENCIES:
- Process, on an on-going basis, weekly billing through the EMR and other means assigned billing. Ensure timely and accurate billing. Communicate, resolve and re-submit all problem claims notifying Accounts Receivable Supervisor when appropriate.
- Produce and review the A/R Aging Reports for all related billing. Review and work the aging reports on a weekly basis. Submit and/or review the aging reports on a bi-weekly basis to Accounts Receivable Supervisor. All claims in excess of 90 days past due must be accompanied by detailed explanations and action plan. Produce Gratuitous/Write Off paperwork as needed in conjunction with the Accounts Receivable Supervisor.
- Research and resubmit as necessary all unpaid claims from the above referenced aging reports. Immediately notifying and communicating all appropriate program individuals of any billing related issues (encounter form, EMR related issues etc.). Utilize Google Docs for communicating problem areas.
- Where appropriate check and verify eligibility (EVS) status and ensure that an authorization for services is in place for the above referenced billing. Immediately notifying and communicating all appropriate program individuals of any billing related issues (authorization, eligibility etc.). Enter all authorizations in the EMR as required.
- Prepare and update any assigned billing related reports (including any month end requirements, county reporting etc.). Respond to other miscellaneous requests and correspondence related to any assigned billing areas.
- Ensure and assist as necessary that all Cash Receipts for the above referenced billing is entered into Accufund.
- Complete all clerical duties as assigned such as filing, emails, etc.
- Plan/direct claims management and fiscal reconciliation.
- Review PROMISe enrollment compliance, SSD maintenance.
- Support Office of Developmental Programs under Home and Community Based Services waiver compliance and provider qualification compliance.
- Ensure quality management, incident management/risk management.
Job Location:
Zelienople, PA, United States
Position Type:
Full-Time/Regular
Who We Are: Founded in 1854 by the Rev. Dr. William Passavant in Zelienople, Pennsylvania, Glade Run has evolved over the last 170 years to meet the changing and increasingly challenging needs of children, adults and families throughout Western Pennsylvania and beyond. Last year, Glade Run served over 7,000 individuals with impactful, innovative services in school, home, and community based settings.
Glade Run uses the Sanctuary® Model as our blueprint for clinical and organizational change which, at its core, promotes safety and recovery from adversity through the active creation of a trauma-informed community while applying the following Sanctuary commitments within all aspects of our programming: Nonviolence, Emotional Intelligence, Social Learning, Democracy, Open Communication, Social Responsibility, and Growth and Change. Our recognition that trauma is pervasive in the experience of human beings forms the basis for Glade Run's culture as we focus not only on the individuals in which we serve, but equally on our staff and the systems who provide their treatment. Glade Run is an Equal Opportunity Employer.
What We Offer
(Must meet eligibility requirements- see policies/plan documents for complete requirements and eligibility)
- Comprehensive benefits including medical, dental, vision, paid time off, and paid holidays for full-time staff
- 401K offerings with agency match at $1.00 per dollar contributed up to 3% of salary
- Agency provided life insurance and long-term disability coverage for full-time staff
- Voluntary benefit options; including Disability Insurance (Short-Term Disability), Cancer Coverage, Critical Illness, Medical Bridge, Accident Insurance, Life Insurance and Identify Theft Protection
- Paid mileage reimbursement
- Paid training and administrative time
- Cell phone reimbursement
- Licensure Supervision for FREE!
- Free credentialing assistance
- Quarterly productivity incentives
- Tuition reimbursement for full-time staff
- Flexible work schedules (as applicable)
- Annual merit increases for eligible positions based upon the yearly budget
- New Hire Incentive Bonuses
- Employee Referral Bonus Incentives
- Employee Discount Program
- Approved Agency for Public Student Loan Forgiveness
- Employee Assistance Program
- Partnership with Capella University offering scholarships, tuition discounts, and free professional
- development opportunities
- Opportunities for membership to civic/community organizations
- As of August 31, 2024, a CARF Three-Year Accreditation has been awarded to Glade Run Lutheran Services for the following (programs/services): Case Management/Services Coordination: Mental Health (Adults, Children and Adolescents), Intensive Family-Based Services: Mental Health (Children and Adolescents), Outpatient Treatment: Mental Health (Adults, Children and Adolescents), Outpatient Treatment: Psychosocial Rehabilitation (Adults), Partial Hospitalization: Mental Health (Children and Adolescents)
- Glade Run is Sanctuary certified – we provide a supportive, respectful environment for our clients and our staff where shared governance, open communication, social learning and responsibility, non-violence, emotional intelligence, and growth and change are paramount in all aspects of our programming.
