Job Details Job Location Warwick, RI Description
BILLING SPECIALIST
BILLING OFFICE
FULL TIME - NON EXEMPT
General Summary: This position focuses on system integrity and development, along with the enhancement of staff capabilities in regards to the billing cycle. Assure that protocols and best practices are utilized among all billing staff within the scope of the full cycle of billing claims. Balance all aspects of the high-volume daily functions of the department, along with maintaining and organizing the volume required of this position.
Essential Responsibilities:
- Review and resolve denied claims and other problems with an account.
- Pursue complex appeals and resolve complex problems.
- Oversee request for flex bills and client statements.
- Oversee to requests for client balance verification and account refunds.
- Research issues or inquiries arising from management.
- Respond to log and billing issues from all staff.
- Oversee specialized billing, such as per diem, CFIT and ADHD clinic.
- Report and discuss computer issues with IS Department.
- Attend meetings regarding system development and interdepartmental work flow.
Additional Responsibilities:
- Attend all agency/department required training and meetings within the prescribed period.
- Attend all Safety Training programs and be able to describe his/her responsibilities related to the general safety, department safety, and specific job-related hazards and responsibilities.
- Demonstrate respect and regard for the dignity of all clients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment.
- Embrace Thrive's Diversity, Equity and Inclusion Mission Statement and Definitions.
- Present a neat appearance in proper attire and identification as required by the position, department and agency policies and procedures.
- Work the hours and/or shifts assigned, and begin and end on time.
- Valid driver's license and automobile insurance which meets Rhode Island minimum standards required, or the ability to obtain necessary transportation in order to perform the responsibilities/tasks of the job.
- Function, as member of a team, i.e., be a Team Player .
Education, Experience and Competencies:
- Associates degree in related field or technical certificate in medical billing, financial software applications or a combination of education and equivalent related experience.
- Working knowledge of MS Excel, Word, Access and Outlook.
- Five years of progressive hands on experience in any of the following: computerized medical billing preferably in behavioral healthcare; accounts receivable and collections in the medical field; training or supervising of billing staff.
Certifications, Licenses Requirements:
- Valid driver's license and automobile insurance which meets Rhode Island minimum standards required, or the ability to obtain necessary transportation in order to perform the responsibilities/tasks of the job.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; talk or hear; taste or smell. The employee lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, and the ability to adjust focus.
This job description is not intended to be and should not be construed as an all-inclusive list of all the responsibilities, skills or working conditions associated with the position. While it is intended to accurately reflect the position activities and requirements, management reserves the right to modify, add or remove duties and assign other duties as necessary. Reasonable accommodations may be made to assist individuals with disabilities in meeting the expectations of the position.
EEO/VET/LGBTQ+ Employer
Reports To:
BILLING SPECIALIST reports directly to Billing Manager and will be supervised according to Thrive Behavioral Health Supervision Policy.