Billing Specialist
: Job Details :

Overview:

We need hope-bringers and changemakers because the work we all do matters. If youre passionate about making an impact with your time and being someones light in the darkness, we want you on our team.

Come Join Us to Do Mission-Based, Meaningful Work

Who We Are

Gaudenzia is one of the largest nonprofit providers of treatment to people with substance use and co-occurring disorders in the nation. We operate in Pennsylvania, Delaware, Maryland, and Washington, D.C.

Our caring, compassionate team is on a mission to save thousands of lives each year and bring hope to people devastated by substance use disorder. Together, we help individuals, families, and communities heal and thrive in the face of one of the most devastating public health crises of our time.

As our organization grows and evolves to meet the needs of our clients and communities, were seeking passionate, empathic individuals to help us make an impact. With your help, we can turn the tide on substance use disorder.

Who were looking for:

This individual is responsible for assisting with the invoicing for assigned funding sources, coordinating authorizations for payment and work with clinical staff to ensure proper authorizations and paperwork for invoicing. Must have experience with third party insurance invoicing.

Additionally, this individual is responsible for follow-up calls when payment is not received. Other fiscal duties as assigned by the Director of Finance. Work is performed with considerable independence in accordance with established regulations, policies, and procedures. Work is reviewed and supervised by the Accounts Receivable Supervisor.

Responsibilities:

Your responsibilities in this role may include:

Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form.

Follows up with insurance company on unpaid or rejected claims. Resolves issue and re-submits claims.

Prepares patient statements for charges not covered by insurance. Insures statements are mailed on a regular basis.

Posts insurance and patient payments using medical claim billing software.

For patients with coverage by more than one insurer, prepares and submits secondary claims upon processing by primary insurer.

Understands managed care authorizations and limits to coverage such as the number of visits. This is encountered often when billing for specialties.

Assist in verifying patient benefits eligibility and coverage

Miscellaneous duties as assigned by the Accounts Receivable Supervisor

Benefits & Perks:

Gaudenzia is a diverse, inclusive workplace where purpose-driven people thrive. We think our team members are real heroes, and we believe those who devote their lives to making the world a better place deserve competitive salaries, generous health benefits, and unbeatable work-life balance in return.

Benefits & Perks at Gaudenzia include:

• Medical Insurance
• Dental Insurance (At No Cost)
• Short-Term Disability Insurance (At No Cost)
• Life Insurance (At No Cost)
• Accidental Death & Dismemberment Insurance (At No Cost)
• Vision Insurance
• Various Supplemental Benefits (Aflac, Legal, Identity Theft & FSA)
• You generate two banks of time off: Personal and Vacation
  • Paid Time Off (PTO) Accruals at 80 hours minimally during your 1st year of employment
  • Vacation Accruals at 80 hours minimally during your 1st year of employment
• 10 Paid Holidays Per Calendar Year
• Paid Bereavement Leave
• Education Assistance Benefit (Tuition Reimbursement)
• Full reimbursement for the cost of professional license/certification renewals
• 403(b) Retirement Plan with an Employer Match Up to 5%
• Employee Assistance Program

Gaudenzia is an equal opportunity employer. We do not practice or permit discrimination based on race, gender, gender identity, gender expression, sexual orientation, age, national origin, religion, creed, disability, or veterans status.

Qualifications:

Qualifications for this role: Education: Associates degree in accounting or related field, or two years related education.

Experience: One (1) year related experience required.

Additional Qualifications:

• Knowledge of office and clerical functions
• Knowledge of Microsoft Word and Excel
• Knowledge of required reports and client file maintenance
• Ability to communicate effectively verbally and in writing
• Ability to plan and organize work
• Ability to establish and maintain effective working relationships with outside vendors, other staff members, outside agencies and the general public

Our Operating Principles:

We, as members of the Gaudenzia Team, are committed to these principles. They guide the way we perform Gaudenzia business, every day.

We hold client care as our top priority.

We assume good intentions.

We are present, we connect, and we communicate with transparency, dignity, and respect.

We make data-driven decisions with courage, challenge the status quo, and find innovative ways to grow Gaudenzia and each other.

We support each other publicly and privately in all circumstances.

We provide and accept constructive, honest, respectful, and timely feedback with an open mind and without personalization.

We operate with integrity, focus on outcomes, and have a bias for action.

We follow through on agreements and honor commitments prioritized with a sense of urgency someones life may depend on it.

Gaudenzia is proud to be an employer of choice and a treatment provider of choice in the substance use and co-occurring disorders treatment field. We work hard to foster an inclusive, supportive environment where our employees and clients always feel safe and welcome. Come work with us!