Billing Specialist

As a member of the Revenue Cycle Team, the Billing and Accounts Receivable Specialist is responsible for the accurate and timely billing of services, to PA and NJ Medicaid and School Payers.  Posting of payments, verification of authorizations, claims resolution and accounts receivable follow-up of outstanding balances.

Billing Duties:

• Verifies the accuracy and completeness of monthly and daily charges for tuition, residential and ancillary services.
• Ensures timely, accurate and efficient processing and submission of claims/invoices to PA and NJ Medicaid and School Payers for reimbursement.
• Ensures compliance with billing practices, policies and procedures by leveraging strong knowledge of the policies.
• Verifies client eligibility and funding changes.
• Tracks and report residential changes that may impact reimbursement.
• Timely submits claim corrections and resubmission of invoices and claims when necessary.
• Maintains client and student billing records.

Cash Duties:

• Accurately posts payments in the billing system to appropriate client accounts within five business days of receipt.

Accounts Receivable Duties:

• Identifies and resolves unpaid claims and report issues to supervisor.
• Monitors weekly and monthly reporting on the status of accounts receivable over 30 days in arrears, provide details of collection efforts and issues with securing reimbursement.
• Performs collection actions including contacting funders, clients and guarantors by phone, email, and mail.

Other Duties:

• Provides exemplary customer service to external stakeholders and internal clients.
• Work collaboratively with other departments and programs to gather and provide information on authorization and eligibility issues.
• Maintains quality results by following established policies and procedures.
• Shares knowledge of current regulations, policies and developments with team members and other stakeholders.
• Maintains strict confidentiality with regard to all client information. Adheres to all HIPAA guidelines/regulations.
• Demonstrates a strong commitment to performance accountability.
• Responds to inquiries from funders and Woods management staff regarding billing and account related matters.
• Attends relevant seminars and training sessions to improve knowledge, skills and performance as specified by the Billing Supervisor or the Revenue Cycle Manager.
• Other duties as assigned by the Billing Supervisor or the Revenue Cycle Manager.

• Associates Degree preferred. Individuals with billing experience in a healthcare environment and a high school degree will be considered in lieu of a degree.
• Minimum three years work experience relevant to the duties and responsibilities of the position required.  Previous experience with computerized billing software. 
• Strong interpersonal skills and a solid work ethic.  Excellent organization and communication skills, clerical and numerical proficiency and familiarity with Windows-based software application packages, strong MS Excel skills.  Demonstrate the ability to handle multiple tasks, adhere to established deadlines, and produce work that consistently meets or exceeds team benchmarks.