Medical Billing Specialist

Summary

The Medical Billing Specialist is responsible for managing the billing and payment activities of multiple programs, clients and/or 3rd party payee accounts and will serve as a point of contact for primarily for clients, at times for internal staff regarding billing-related matters, and occasionally deals with third-party payers. The role can include seasonal special projects.

Agency Information:

JFCS is a multi-faceted human services agency with the mission to provide essential services to people of all ages and backgrounds to sustain healthy relationships, ease suffering and offer support in times of need. JFCS is a place where you can put your values to work every day. You will be able to:

• Make a positive difference in the lives of others
• Feel energized to give your best effort and enjoy a healthy work/life balance
• Learn, grow and accomplish new things

JFCS serves and employs people of all cultures and faith traditions and highly values inclusion and diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. AA/EEO

Salary and Benefits

• Annual salary is $52,500.
• Work-life balance including vacation, wellness leave (sick time), paid family and medical leave, holidays, flexible schedule, and a hybrid working schedule with the ability to work from home up to 60% of the time.
• Competitive benefits package including medical insurance, 401(k) with match, life and long-term disability insurance, and access to other benefits including vision, dental, and pet insurance.

Job Duties

Waivered Services (50%):

• Complete monthly billing for Disability Waivered Services programs through Ramsey and Hennepin Counties - including all waivered services, Rule 185, and VADD TCM.
• Complete admission and discharge of clients for both programs within the EHR system.
• Monitor the MN-ITS mailbox daily for new and updated service agreement letters; enter changes and new authorizations into Welligent.
• Export units of service from Activity Logs in SSIS and enter the units per waivered client in batch to the EHR system.
• Review State and County procedures on an ongoing basis to ensure compliance with requirements.

Medical Billing (35%):

• Issue monthly client statements. Field questions from clients regarding statement balances. 
• Accept and apply client payments on a daily/weekly basis.
• Collect needed information for invoices, authorizations and referrals to resolve unpaid claims.
• Process and post adjustments as determined by EHR system for recurring monthly payments and weekly EFTs.
• Enter charges into EHR system for various programs assigned.
• Update client information in a timely manner.

Credentialing (15%):

• Coordinate credentialing for clinical staff and agency. Maintain database of existing staff to ensure ongoing credentialing requirements are met.

Other Duties (5%):

• Other duties as assigned.

Experience

• One to three years of experience with billing in a non-profit setting.  
• Experience with electronic health records systems and database programs; Welligent experience is desirable.
• Knowledge of clinical / medical terminology, billing policies, coding, authorizations and an understanding of insurance industry. 
• Knowledge of credentialing process and procedures.

 Skills and Qualities

• Ability to organize and prioritize multiple tasks and work effectively with interruptions. 
• Ability to provide excellent and confidential customer service.
• Strong oral and written communication skills.  
• Working knowledge of compliance guidelines, HIPAA, and confidentiality.
• Strong attention to detail and ability to work independently in a fast-paced environment with multiple demands/deadlines.
• High proficiency with Microsoft Office programs, including Word and Excel, and with use of web-based research tools. Ability to engage compassionately with people from across all backgrounds, socioeconomic statuses, and mental and physical abilities.
• Ability to maintain effective working relationships with the clinical staff and third-party payers. 
• Demonstrated commitment to JFCS’s Values: compassion, inclusion, innovation, integrity, and collaboration.
• Actively contributes to the agency community by participating in committees, work groups, or other collaborative efforts that support agency goals and foster a positive work environment. 

Work Environment/Physical Demands

This position works closely with the EHR System Administrator & Medical Billing Manager, Chief Financial Officer, and other members of the Finance Team.

Combination of walking, sitting, and standing in an office setting. Occasional lifting, stooping, kneeling, bending or climbing. Occasional lifting of up to 30 pounds. Daily use of computer, telephone, and other office equipment. 

Frequent need to comprehend and follow instructions, deal with people in a sensitive and empathic manner, remain organized, attend to details, perform assigned tasks in a timely manner, and maintain an appropriate workspace. Maintain the highest ethical standards. Position requires flexibility in scheduling and carrying out priorities. Must be able to effectively handle/manage and resolve stress. Must also be able to maintain appropriate professional boundaries. The employee must also be able to work effectively with a team of other social work and mental health providers, along with multidisciplinary agency staff.