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STATUS:Regular, Full Time
SALARY RANGE:$36,164.18 - $45,051.57
LOCATION:555 Towner
Under the supervision of a higher classified employee, performs fiscal operations, conforming to established policies and procedures. Receives and processes payments, prepares advances and receives requests from divisions. Processes payroll and all personnel transactions for Human Services. Prepares and generates a variety of fiscal reports. Process monthly patient billings for self pays, post payments, make any needed adjustments to accounts, handle other discrepancies and reimbursements. Will communicate with insurance carriers to clarify issues and ensure timely billing and payment. Maintains and updates monthly billing and records for all accounts. Serves as a liaison between Human Services Fiscal Team and internal and external customers.
Essential Duties:

  • Processes payments due all vendors or staff, including reviewing for appropriate documentation and/or authorized signature. Reviews invoice/request for payment. Enters necessary information into mainframe application. Maintains vendor and contractor files.
  • Prepares advances, automatic payments, rents, etc.
  • Receives, analyzes and processes all fiscal requests from Human Services divisions.
  • Processes payroll for Human Services Department, including receiving and reviewing timesheets from all divisions.
  • Prepares, mails and files all insurance claims for payment to Medicaid, Medicare and all third party insurances on a monthly basis.
  • Interacts with clinical staff regarding authorization and coding issues.
  • Work with staff to correct errors detected by the electronic billing system edit check report. Stay current on ICD-9 (10), CPT and HCPCS codes and their proper usage.
  • Resolves medical billing discrepancies by examining and evaluating data; recommending corrective steps.
  • Run aging reports monthly to ensure that account receivables are accurate.
  • Maintains and updates monthly billing and records for all accounts.
  • Determines client fees, verifying income family size, etc. Determination includes review of eligibility for entitlement programs.
  • Reads, reviews and monitors insurance company rules and regulations, including eligibility for state and federal entitlements.
  • Processes all personnel transactions for Human Services, including obtaining appropriate information, and activating/entering necessary information on mainframe system to generate Personnel Action Request for processing.
  • Generates a variety of computerized reports utilizing the Human Services Information System.
  • Serves as a liaison between Human Services Fiscal Team and internal and external customers, including answering questions and receiving authorizations.
  • Assists in designing work processes to enhance efficiency and service provision.
  • Performs other related work as assigned.
The above statements are intended to describe the general nature and level of work being performed by employees assigned this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
Knowledge of:

  • Medical billing and collections preferably in the public health industry.
  • Fiscal operations.
  • Microsoft Office applications i.e. spreadsheet/database and word processing.
  • Provider Secured Services -- Web Denis, CHAMPS or C-Snap
Skill in:

  • Working cooperatively in a team setting.
  • Performing simple mathematical functions.
  • Understanding and following a series of complex instructions.
  • Completing repetitive financial tasks with accuracy and without detailed instructions.
  • Operating standard office equipment, including calculator, adding machine, personal computer and telephone.
  • Performing repetitive, detail-oriented, and short-cycle work.
  • Performing effectively with the public, internal customers and all levels of management.
  • Working under specific instructions.
  • Utilizing spreadsheet/database and word processing applications
Ability to:

  • Work independently.
  • Process Medicaid / Medicare and commercial insurance claims utilizing an electronic billing system.
  • Duties require sufficient mobility to work in a normal office setting and use standard office equipment including a computer, vision to read printed materials and a VDT screen and hearing and speech sufficient to communicate in person or over the telephone.
These requirements may be accommodated for otherwise qualified individuals requiring and requesting such accommodations.
  • Possession of a high school diploma or its equivalent.
  • Formal training in medical billing procedures and requirements.
  • Three (3) years of bookkeeping/accounting and/or Fiscal Assistant Level II knowledge and experience required.
  • Strong organizational and interpersonal skills.
  • May instruct and guide lower classified employees in problem solving and trouble shooting.
  • Certified Medical Billing Specialist (CMBS) or Certified Professional Biller (CPB) preferred.
This class description intends to identify the major duties and requirements of the job and should not be interpreted as all-inclusive. Incumbents may be requested to perform job-related duties other than those outlined above and may be required to specific job-related knowledge for successful job performance.


CONTROL NUMBER: 1310-610-1975-0002


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