Billing Specialist Lead

The Billing Specialist Lead is an integral part of Arundel Lodge. In addition, the Billing Specialist Lead is expected to practice the Recovery Model in all interactions with persons served.

These elements are non-linear and holistic, and emphasize hope, personal responsibility, peer support, respect, empathy, non-stigmatizing language, empowerment, using the strengths of the persons served, and self-determination.

Arundel Lodge provides initial and on-going training and support to all staff concerning the Recovery Model, and staff persons are evaluated on their use of the Recovery Model to perform their assigned job responsibilities.

Primary Responsibilities

• The Billing Specialist Lead is responsible for creating, maintaining and implementing a system that will perform the following functions:

•

• Generate and Submit claims for every service provided by ALI,
• Monitor and Manage Accounts Receivables,
• Create and Input Monthly Closing,
• Advise, participate, and when appropriate lead implementation and maintenance of Revenue Cycle Management processes to ensure accurate, timely and optimal revenue, including….
• o Authorizations and Payor requirements

o Intake procedures

o Client information request

o Claim resolution

o Provider Credentialing Requirements,

Work Expectations:

Adhere to ALI policies and procedures

• Code of Ethics
• Fraud Prevention
• Conduct and Abuse
• Employee-Persons Served Relations
• Meeting Attendance
• Mandatory Training
• Timesheets
• Overtime
• Time Off
• Work Attendance
• Punctuality
• Vehicle Use
• Equipment Use
• Infectious Illness
• Health & Safety
• Complete tasks with numerous interruptions

Specific Responsibilities include:

The Billing Specialist Lead will provide direct supervision and support to multiple Business Office staff who allocate all or a portion of their time to billing functions. The Billing Specialist Lead will also hire and train staff.

The Billing Specialist Lead will work closely with the IT Director to monitor and update the billing functionality within the Electronic Health Record to ensure efficient operation and provide training and support to Program Staff as needed.

Annually

• Assist in annual audit.
• Assist in annual budget preparation

Monthly

• Reconcile petty cash,
• Prepare reports for monthly closing,
• Generate authorization list,
• Attend meetings and training associated with billing and regulations related to ALI,
• Reconcile payments with corresponding G/L accounts.

Weekly

• Prepare and send weekly billings,
• Review and follow-up on denials and reimbursements to maximize reimbursements,
• Manually post and break out payments,
• Monitor billings for accuracy and regulatory compliance.
• Coordinate with Credentialing regarding billing requirements.

Education: BA in Accounting or related field preferred or AA Degree or related work experience.

• Experience: 3 to 5 years of Managing Accounts Receivables
• Create and Input Monthly Closing
• Revenue Cycle Management processes
• Intake procedures
• Claim resolution
• Provider Credentialling Requirement