Join a team where there are opportunities for growth and advancement. Great benefits include scholarships toward a degree or certificate program.
JOB SUMMARY With general supervision of the Associate Director of Finance & Compliance, this position will provide administrative supports to successfully complete the financial functions of the organization. This will include overseeing the agency accounts receivable and billing duties inclusive of the development of efficient processes as needed. Supervision of SDS and CMH program billing/QA staff. All Community Connections employees are expected to contribute to the professional reputation of the agency through understanding and promoting the organization’s mission and core values in all aspects of services. REPORTING RELATIONSHIPS This position supervises billing and QA staff while providing billing and quality assurance support and direction to ELP billing staff. May supervise other agency personnel as requested by the Associate Director of Finance & Compliance. DUTIES & ESSENTIAL JOB FUNCTIONS Manages staff by setting clear and aligned performance goals and expectations, providing effective feedback and coaching, measuring progress and holding employees accountable, recognizing achievement and lessons learned, and supporting on-going professional development; Oversees and directs all service related accounts receivable functions of the organization from claims to collections ensuring effective and efficient billing of Medicaid, third party payers and private pay customers; Oversees and directs QA for billing notes, as well as prepares utilization and productivity reports as needed for program managers/directors. Works with management to minimize overutilization and reclassify transactions where appropriate; Coordinates with Associate Director of Finance & Compliance and Assistant AR Manager to ensure payer tables are being maintained with the appropriate rates and all necessary service codes are available; Assists with use of billing systems, problem solving billing discrepancies/denials, and developing systems and procedures to improve accuracy and efficiency; Participates in meetings and analysis of new requirements initiated by external and internal parties (e.g. EVV/EHR) and determines impact on staff while developing new processes to accommodate; Prepares monthly and end of year reconciliations of assigned AR GL accounts connected to AR/CareLogic including relative aging reports; Prepares and provides complete and accurate supporting documents for audit requests as assigned; Assists with monitoring online bank account and ensuring all cash receipts for service related activity are recorded accurately in the electronic revenue (CareLogic) and accounting (MIP) systems; Manages agency records retention ensuring the physical and electronic files are in sync with all regulatory bodies, to include Medicaid and CARF; Oversees the records requests process to ensure they are fulfilled in a timely manner; Serves as backup for identifying, preparing and posting adjustments as well as manual and electronic payments to the accounts receivable software system; Serves as backup for staff and other accounts receivable personnel and performs other duties as assigned. KNOWLEDGE, SKILLS & ABILITIES Skilled in computer applications related to the work, including but not limited to databases, spreadsheets, electronic billing and accounting systems, and word processing programs; Skilled in records management principles and practices; Skilled in performing data entry at an intermediate level; Ability to develop expertise regarding all applicable regulatory guidance governing service delivery (Medicaid, Private Insurance, HCPCs, HIPAA, CARF, etc); Ability to maintain a high standard of work even under pressure of deadlines and frequent interruptions, remaining professional, responsive and cooperative; Ability to utilize initiative and leadership, organize own work, coordinate projects, set priorities, meet deadlines and following up on assignments with a minimum of direction; Ability to perform basic research and prepare reports and recommendations; Ability to apply strong problem solving skills to identify unique situations that would require the attention of management; Ability to interpret and implement policies and procedures; Ability to organize, evaluate, and present information effectively, both orally and in writing, within a prescribed time frame; Ability to be extremely detailed oriented and have a keen eye for quality checking of documentation and accurate filing of paperwork; Ability to work with diverse populations; Ability to work well as part of a team and collaborate with peers; Ability to be friendly and outgoing, with a notably positive attitude. REQUIRED QUALIFICATIONS Four years of work experience performing progressively advanced administrative job duties in billing or finance-related areas for a social service or medical-related business; Two years of supervisory experience. Must be able to pass a criminal background check under agency guidelines and state regulations. PREFERRED Bachelor’s degree in a field related to finance, accounting, or business. PHYSICAL REQUIREMENTS/WORK ENVIRONMENT Position is office based and generally sedentary in nature. Must possess mobility to work in a standard office setting and to use standard office equipment, including a computer, and to attend meetings; strength to lift and carry materials weighing up to fifteen pounds.We are seeking a dynamic and motivated individual to join our program. The ideal candidate will be trained and gain experience in medical anatomy and terminology, ICD 10 CM, HCPCS, CPT, HIPAA, and how to handle health insurance form CMS-1500. If you are passionate about...
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