CCYSB is seeking a Billing Specialist. The Billing Specialist will be responsible for providing support to the Billing Manager & assisting with the billing process for the Agency as it relates to client services.  

Essential Functions:

1. Manage the Evolve Electronic Health Record (EHR) system.
2. Verify insurance eligibility/benefits with individual policies and maintain current authorizations for client services (eligibility, in- and out-of-network benefits, coverage guidelines, and authorizations).
3. Create Fee Agreements and/or Good Faith Estimates.
4. Maintain client demographic information in EHR system.
5. Process all client/insurance payments to include electronic fund transfers in the EHR system and post contractual adjustments as needed.
6. Perform daily follow-up functions to secure payment and/or resolve outstanding accounts receivable for one or more of the assigned payer categories: Medicare, Medicaid, Most Commercial Policies and Self-Pay.
7. Actively monitor, identify, research and rectify aged/denied claims.
8. Gather and submit documentation to insurance companies to complete the credentialling of agency provider staff.
9. Communicate with and respond to staff inquiries regarding client billing/insurance requirements and questions.
10. Other duties as assigned.

Knowledge, Skills, Abilities

• High school diploma required. Post-secondary course work or degree in business management, business administration or similar field preferred.
• Minimum of two years of healthcare billing experience, preferred
• myEvolve experience (or similar electronic health records system).
• Strong familiarity with federal and commercial insurance plans.
• Active, working knowledge of CPT and Diagnosis codes.
• High level of quality awareness, accuracy, and attention to detail.
• Ability to meet deadlines, prioritize tasks and work independently.
• Ability to operate computer programs such as Office 365, Email, internet.
• Ability to use general office equipment (computer, phones, copiers, fax, etc.).
• Ability to use initiative and judgment in scope of designated responsibilities to ensure that matters requiring attention are appropriately delegated or handled.
• Able to effectively communicate with clients, vendors, supervisors, co-workers, and other persons in writing and by telephone while remaining professional, pleasant, and respectful.
• Ability to conduct oneself as a team member through the use of collegial words and actions that support co-workers and Carroll County Youth Service Bureau’s philosophy, mission and vision.

Hours: 40/wk

Pay: $20.00/Hour

If you are or know someone who is interested, please have them email me directly at akhan@ccysb.org.

Ask about CCYSB's Employee Referral Program to learn more!