This job was posted by https://www.azjobconnection.gov : For more
information, please see: https://www.azjobconnection.gov/jobs/6508688
Catholic Community Services of Southern Arizona, Inc. (CCS) is
thriving! For 90 years,CCShas focused its mission to strengthen
families, support communities, provide compassionate services, and
deliver excellence. Providing Help. Creating Hope. Serving All.
We credit our continued success to our valuable employees! If you want
to make a difference, help people, and serve your community, we want YOU
to join our team! For more information visit our website
at:www.ccs-soaz.org.
OVERVIEW
Under direction of the Chief Financial Officer, manages and monitors the
processing of medical billing claims and invoices, posting payments, and
the correction and resubmission of denied claims or invoices in
behavioral health program. Position includes oversight of medical
records in compliance with HIPAA and federal and Arizona state laws; the
billing and benefits enrollment screening process, including front and
back office operations; enrollment into organization programs; and
financial screenings. Position may from time to time be stressful and
require a high demand of performance. May perform other duties as
assigned.
ESSENTIAL FUNCTIONS
- Supervise and manage the daily activities of supervisees, including:
interviewing, hiring, training, professional development,
evaluations, and terminations
- Oversee and support Billing Specialist activities, including:
billing, insurance verification, charge capture, collections, and
development and implementation of billing procedures to ensure
timely and complete collection of revenue
- Oversee the data validation process to ensure submission of
error-free claims for processing and payment
- Oversee the resubmission of claims as necessary
- Direct and assist with processing and adjudicating claims; posting
payments; monitoring claims, denials, and appeals for efficient
processing; and resolving billing-related issues both with health
insurance plans and with Electronic Health Record (EHR) vendor
- Maintain medical billing spreadsheets
- Develop and implement short and long-range revenue cycle processes
for the benefit of the organization and its members
- Communicate with management regarding front end user errors and
issues that are impacting the revenue cycle
- Coordinates with Compliance representative to ensure high level of
ethics, accuracy, transparency, and accountability to agency
programs
- Resolve and answer help desk tickets related to billing
- Complete month end revenue reporting tasks
- Liaison with revenue cycle vendors, including CCS\' EHR vendor, and
health insurance plans and to coordinate billing activities and
resolve issues
- Ensure compliance with and support of Executive directives,
contracts, and established policies and procedures, as well as
federal and state regulations
- May drive personal or agency vehicle on company business
- May perform other duties as assigned
MINIMUM REQUIREMENTS
Suitable work experience may be considered as transferable skills in
order to meet minimum requirements of the position and will be
considered by the Executive Director of Human Resources.
- Bachelor Degree in Business Administration, Finance, or related
- 2 years of experience supervising and overseeing medical billing,
data validation, and claims submission and resubmission (preferably
behavioral health)
- 2 years of experience working in medical billing, data validation,
and claims submission and resubmission (preferably behavioral
health)
- Proven skills utilizing Microsoft Office Suite
- Ability to obtain First Aid and CPR certification
- Proven strong communication skills - oral and written are cle r,
concise, and in an organized fashion using appropriate style,
grammar, and tone
REGULATORY
- Must be at least 18 years of age
- Valid driver license, proof of insurance, and 39-month motor vehicle
report
- Ability to obtain and maintain Arizona Level One Fingerprint
Clearance Card and FBI National Criminal Records History Report
(employer paid)
- Pass pre-employment drug screen (incudes marijuana, regardless of
recreational use laws) (employer paid)
DESIRED QUALIFICATIONS
- Master Degree in Business Administration, Finance, or related
- Billing and/or coding certification and/or credential
- Additional years of directly-related experience
- Behavioral health work experience
- Experience working with Arizona Medicaid providers in relation to
billing
- Bilingual in English and Spanish, verbal and written
The above statement reflects the general duties considered necessary
to describe the principal functions of the job as identified and shall
not be considered a detailed description of all work requirements that
may be inherent in the job.\<