Billing and Payroll Specialist

Job Description

Job Description

Summary :

Billing : Compiles and documents client attendance and level of treatment information for billing. Communicates with all levels of staff to determine level of treatment for daily client attendance in preparation of billing processes.

Coordinates account collection activities related to denials, appeals, and follow-ups. Must have medical billing experience.

Payroll : Maintaining payroll systems and processing paychecks according to schedule and in the correct amount. Their duties include consolidating timesheet information and entering data into payroll databases, calculating paycheck amounts and distributing funds to employee accounts.

Essential Duties & Responsibilities :

Billing

• Complies details of daily bed counts for residential programs and summarizes client occupancy in Excel files for statistical analyses and billing support.
• Communicates with Admissions & Utilization Review, as well as Program Directors or Counselors to resolve treatment episode, certification, and enrollment issues.
• Monitors level of treatment to ensure appropriate billings are processed.
• Prepares and submits client billings to funding sources in a timely manner and uses multiple media, i.e., EDI transmissions, internet-based transmissions, and hard-copy claims, to bill payors.
• Research claim denials and initiates interaction with payors to determine the causes of and resolutions to denials and follows up same to ensure collection through use of the EHR.
• Coordinates transactional data with Controller for final review.
• Recommends, modifies, documents and coordinates implementation of accounting and accounting control procedures with respect to client billings and collections.
• Must be very experienced with private insurance and Medicaid billing practices.

Payroll

• Ensure all new employees are correctly on-boarding into the HRIS for payroll and benefits.
• Checking timesheets for accuracy and entering data into the HRIS database.
• Handling direct deposit requests and data.
• Processing paper checks for distribution.
• Acquiring all necessary approvals / signatures to distribute payroll.
• Processing wage garnishments.
• Making adjustments in pay for raises, bonuses and commission.
• Assist CFO and / or CHRO in other duties as assigned.
• Ensures services delivered as in line with the Nexus Mission and Values.
• Supervisory Responsibilities : None
• Other duties may be assigned.

Competencies :

• Advanced knowledge of medical billing practices.
• Advanced proficiency in Microsoft Excel and Word.
• Familiarity with medical insurance billing and collection procedures.
• Exceptional mathematical and calculation skills
• Excellent attention to detail
• Knowledge of different types of accounting and payroll software
• Knowledge of laws regarding payroll, garnishments and benefits distribution
• Multitasking abilities
• Good research and analysis skills
• Excellent interpersonal and communication skills, including writing.
• Ability to work both independently and as a member of a team.
• Customer Service knowledge base.
• Understanding of HIPPA Compliance, and Employee / Client / Donor Confidentiality
• Professionalism, initiative, and personal responsibility.
• Integrity, grace under pressure, and a sense of humor.
• Multi-cultural competence and comfort ability to work with a diverse team and to work across differences at all levels.

Qualifications & Responsibilities :

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

The requirements listed below are representative of the knowledge, skill, and / or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. As a condition of continued employment, you are responsible for obtaining and maintaining all training required to stay in compliance with state licensure rules and regulations.

EDUCATION AND / OR EXPERIENCE :

High school graduate / GED.

Minimum 3 years payroll administration and billing / coding experience.

Must have medical billing experience. Only candidates with medical billing experience will be considered for the position.

LANGUAGE SKILLS :

Ability to read and interpret documents, procedure manuals, etc.

Ability to write and speak effectively.

MATHEMATICAL SKILLS :

Ability to calculate figures, amounts, proportions, and percentages.

REASONING ABILITY :

Ability to define problems, collect data, establish facts, draw, and document valid conclusions.

Excellent problem-solving skills, including ability to anticipate problems and use judgement appropriately to plan solutions.

QUANTITY & QUALIFY OF WORK :

Ability to perform assigned duties and responsibilities with neatness, high level of accuracy, strong attention to detail and excellence in a timely manner.

Great organizational and time management skills, including proven ability to efficiently manage multiple tasks and priorities under tight deadlines and in a fast-paced environment

DATABASE EXPERIENCE :

Demonstratable knowledge base and experience with accounting, EHR, and HRIS software required; experience with Welligent and ADP strongly preferred.

Strong digital literacy, with proficiency in MS Office applications.

Physical Demands and Work Environment : 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 accommodation 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; navigate stairs, sit; use hands to finger, handle, or feel objects, tools, or controls;

reach with hands and arms; climb or balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell.

The employee must occasionally lift and / or move up to 20 pounds. Specific vision abilities required by this job include close vision and distance vision.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. The noise level in the work environment is usually moderate.

The ability to perform assigned duties and responsibilities with neatness, accuracy, and a degree of excellence promptly.