Billing Specialist

DIVISION: Academic Affairs

STATUS: Full-Time, Non- Exempt, Monday through Friday hours based on health center hours of operations.

Hourly Pay Range: $25 per hour

General Description:

The position of Billing Specialist is a full-time appointment requiring 35 hours of service per week to the College. This position directs, coordinates, and manages all aspects of billing and collections related to the services provided in the Health Center.

Function and Organizational Relationships:

• Reports to the Director of Clinical Operations.
• Collaborate with the Dean of Clinical Education, Assistant Dean of Clinical Education, Billing Manager, Assistant Billing Manager, Health Center faculty clinicians and health center patient services clerks, and other members of the College faculty, staff, and administration as applicable.
• Support the Mission of the College and the Health Centers.

Specific Duties and Responsibilities

• Performs all aspects of billing: collects, reviews, and verifies patient insurance information; ensures appropriate insurance paperwork is filled out and submitted as required; re-submits insurance claims as required; follows-up on collections as required; posts payments and resolves any billing issues.
• Assist with the rotation schedule for 8th, 9th, and 10th trimester chiropractic students (this includes on- and off-site rotations and assignments). Update student rotation schedules as needed.
• Communicate regularly with the Billing Manager to review data entry problems that may prevent e-bills from being generated and assist in rectifying denied claims so that they can be re-billed.
• Responsible to monitor accounts receivable on a regular basis. Meets with the Billing Manager or individual clinicians as needed to resolve billing matters.
• Generate and mail patient statements periodically based on A/R reconciliation.
• Provide and track Workers’ Compensation paperwork (Initial Exam, Progress Exam & Maximum Medical Improvement Forms) with faculty clinicians. Monitor and communicate status of these patient accounts to patient services clerk and clinicians.
• Organization and maintenance of patient files, especially W/C, NF, and paper-based patient financial records per record retention policy.
• Manage the Hardship Account program for patients – execute proper paperwork and maintain timely documentation per episode of care. Communicate with clinicians and patients regarding status.
• Manage accounts that require prior authorization and tracking of visits. Monitor and execute paperwork in collaboration with the clinicians and staff as appropriate.
• Oversee annual execution of the Patient Financial Policy with patients.
• Collaborate with the Billing Manager regarding compliance measures and assist in implementation and tracking as needed.
• Maintain EOB statements for patients. Files must be current and audit-ready at all times.
• Oversee daily cash drawer reconciliation, complete the weekly deposit paperwork, take deposit to the bank, petty cash reconciliation, and product inventory reconciliation.
• Collaborate with the Billing Manager to ensure appropriate eligibility and participation paperwork with contracted carriers is executed and current for all faculty clinicians.
• Knowledgeable of all aspects of the Patient Services Clerk duties; assists with oversight and provides training and/or coverage as needed. These duties include, but are not limited to:

1. Ensuring patient demographic and insurance/account information is entered accurate and timely in the Electronic Medical Record (EMR).
2. Load new patient information into software; verify patient insurance and demographics on subsequent visits. Monitor and oversee approved visits by insurance carriers and ensure paperwork is executed in a timely fashion.
3. Collect payment from patients for services provided or any supplies that are purchased.
4. Enters information from the patient encounter forms into the EMR; oversees the encounter forms and communicate with staff as needed if issues arise.

• Other duties as assigned.

Service Role:

• Participate in College committees as required.
• Maintain a professional relationship with faculty, staff, and students.

Methods of Accountability

• Annual performance evaluation by the Director of Clinical Operations.
• Verbal and written feedback from the Dean of Clinical Education, Assistant Dean of Clinical Education, Billing Manager, Assistant Billing Manager, and Clinicians.
• Compliance with the College’s OIG compliance protocols.

Mental and Physical Requirements

• Excellent organizational, written, and oral communication skills; attention to detail, accuracy, and customer service skills essential.
• Ability to perform duties flexibly and independently, in a fast-paced, multi-task work environment; ability to evaluate and prioritize workload.
• Responsible judgment, professional and pleasant demeanor.
• Ability to handle high level of discretion and confidentiality.

Education, Training, and Experience:

• High school degree required, Associates and/or Bachelor’s degree preferred.
• Experience in a medical office and with medical billing and collections required; additional billing certifications preferred.
• PC use and proficiency in Microsoft Office programs (Word, Excel, PowerPoint, Outlook) required.
• Proficient use of electronic medical records.

Working Environment and Contributions:

• Safe, professionally equipped and appointed healthcare facility.
• Clean, ventilated, lighted, and temperature-controlled office setting.
• Access to remote work via VPN.
• Positive, supportive, and professional work environment.

Equipment and Tools:

• General office furnishings and equipment.
• Telecommunications equipment.
• PC hardware and software with Internet access.
• Reference materials.

Northeast College of Health Sciences is committed to creating a culture of diversity, equity, inclusion, and belonging with our college campus community. In support of our institutional values, we acknowledge each person’s unique experience, perspective, and ability as contributions that both enrich our community and enhance the professions and people we serve. As such, the College is dedicated to providing equitable opportunities to all future and current employees, including those belonging to groups that have been historically underrepresented in higher education.

If you are interested in applying for this position; please submit a cover letter of interest, resume and contact information for three professional references to: the Office of Human Resources, 2360 State Route 89, Seneca Falls, NY 13148, or e-mail your response to: humanresources@northeastcollege.edu

* Employment is subject to the favorable result of a background investigation and where applicable, confirmation of appropriate degrees and credentialing.

Northeast College of Health Sciences is an Equal Opportunity employer and does not discriminate against students or employees on the basis of age, race, color, creed, gender, sexual orientation, or handicapping conditions (or any other protected status) in its educational programs, financial aid, activities, admissions and employment practices.