Third-party Reimbursement Specialist (admin Asst Iii)

Location
Fairfax, Virginia
Salary
$39,270.61 - $65,450.53 Annually
Posted
Apr 03, 2021
Closes
Apr 10, 2021
Ref
21-00561
Function
Administrative
Industry
Healthcare
Hours
Full Time
Job Announcement

Supports revenue and reimbursement billing, collection, tracking and reporting for $10 million in client and third-party fee revenues for the community services board. As a member of the revenue management team, provides administrative support to client payment processes, creates, runs, and analyzes reports in automated billing/management information system. Protects individuals' confidentiality using existing state, local, and federal policies and procedures. Maintains expertise in several databases related to the electronic health record, insurance verifications, and revenue cycle management as well as Microsoft Office computer software, especially Outlook, Word and Excel.

Under general supervision of the supervisor of the third party billing team, the incumbent will perform these functions:
  1. Reconcile/post FOCUS workbooks
  2. Create/export Insurance worksheets and review incoming revenue
  3. Upload/quality check the scanning from authorizations and documents
  4. Process billing for Medicare, Secondary Medicaid & Injections
  5. Export payments from Credible to excel spreadsheet and upload to FOCUS
  6. Scan EOB to uploaded FOCUS documents
  7. Review uploaded claims/ review 277 report denials
  8. Record and apply payments from Medicaid/Medicare
  9. Prepare and enter Kaiser MCCP & MCCP Foundation billing
  10. other duties as assigned
Functional areas: behavioral health/medical care, fiscal management, reports, public contact, financial, and accounting.

Note
: To learn more about careers that make a difference, watch our video " CSB: Making a Difference in Our Community ."

Illustrative Duties

(The illustrative duties listed in this specification are representative of the class but are not an all-inclusive list. A complete list of position duties and unique physical requirements can be found in the position job description.)

General Financial Duties
  • Uses spreadsheets or databases to organize information and produce standard reports;
  • Prepares a variety of complex disbursement forms (e.g., check requests, travel forms, cash sheets, and journal entries) for routing and approval;
  • May approve some disbursement forms;
  • Compiles and maintains monthly, quarterly, semi-annual, and annual totals, reports, and financial statements;
  • Explains fiscal rules and procedures to employees to ensure uniform application.
Fiscal Administration
  • Sets up accounts through corporate systems;
  • Reconciles ledgers;
  • Prepares status reports;
  • Gathers data for use by others in preparing budget;
  • Prepares transfer vouchers and interfund billing;
  • Monitors external accounts for discrepancies.
Accounting
  • Prepares wide variety of accounting forms;
  • Reconciles daily receipts or accounts receivable/payable;
  • Identifies discrepancies and makes corrections;
  • Collects required documents;
  • Prepares and authorizes expense vouchers and/or invoices within limited authorization levels.
Purchasing
  • Verifies requests for goods and services against county contracts and funding sources;
  • Orders goods or services and follows up/resolves discrepancies and ensures delivery;
  • Authorizes requests for goods and services in corporate systems;
  • Ensures appropriate routing and approval of purchase requests.
Scheduling & Coordinating for Others
  • Maintains calendar(s);
  • Schedules meetings;
  • Makes and cancels appointments;
  • Schedules rooms for classes, meetings, conferences, etc.;
  • Coordinates audiovisual, training equipment, refreshment requests;
  • Set up schedules for internal administrative staff to insure that they are available to meet changing work needs.
Communication
  • Composes routine correspondence on behalf of the executive/work unit head.
Office Management
  • Provides administrative support and implements procedures;
  • May supervise others;
  • Establishes/modifies and maintains a system for tracking the progress of work that is the responsibility of the executive/work unit head;
  • Trains and orients new employees;
  • Provides and explains relevant policies and procedures.
General Administrative
  • Composes routine correspondence on behalf of the executive/work unit head.
Receptionist/Public Contact
  • Schedule appointments;
  • Explains departmental policy/procedure but does not interpret them;
  • Responds to inquiries that require referencing a variety of sources and utilizing
  • knowledge of the department/county operations.
Word Processing/Typing
  • Keys/types complex documents (e.g., technical);
  • Proofs spelling and grammar;
  • Uses multiple software packages to prepare equations, statistics, tables and/or presentations;
  • Compiles reports from edited drafts;
  • Uses macros and templates developed by others.
Information Systems/Software
  • Performs data entry with some knowledge of department/work unit/program;
  • Manipulates screens for additional entries;
  • Generates routine reports;
  • Creates simple spreadsheets;
  • Maintains databases.
Reports
  • Compiles routine factual/numerical reports using readily available information.
Payroll
  • Processes pay adjustments;
  • Transmits on-line T&As;
  • Regularly inputs routine Human Capital Management Enterprise Resource Planning system entries;
  • Performs payroll functions (e.g., internal collection of time sheets, verify T&A entries, verify leave slips);
  • Trains new employees on how to do on-line time.
Personnel
  • Prepares and verifies completeness/accuracy of forms/documents (e.g., personnel requisitions, PARS, PCFs);
  • Provides basic new employee benefits information;
  • Explains routine personnel policies and procedures;
  • Gathers information (e.g., salary range, class specifications, and merit adjustments) from HR website or other county sources for supervisor/management;
  • Instructs employees in proper completion of routine documents (e.g., insurance enrollment forms).


Required Knowledge Skills and Abilities

(The knowledge, skills and abilities listed in this specification are representative of the class but are not an all-inclusive list.)
  • Knowledge of standard rules and interpretations within own functional area and a working knowledge of established methods and procedures used in related areas;
  • Significant nonstandard skill/knowledge is required involving production of an end product such as a report.
Word Processing/Typing
  • Basic skills in the use of Microsoft Word.
Math Skills
  • Basic math skills.
PC Skills
  • Basic skills in the use of applicable Microsoft Office Suite software.
Communication
  • Ability to write simple documents.
Information Abilities
  • Ability to process and integrate complex data.
Interpersonal Abilities
  • Ability to establish and maintain effective working relationships with both external and internal contacts.
Purchasing and Accounting
  • Ability to perform data entry into Purchasing/Logistics Enterprise Resource Planning systems and/or Financial Enterprise Resource Planning systems in at least three functions (e.g., create shells, accounts payable processing).
Personnel and Payroll
  • Ability to perform routine Human Capital Management Enterprise Resource Planning system functions (e.g., process PARS, requisitions).
Executive Assistance
  • Ability to maintain confidentiality and be sensitive to political issues.


Employment Standards

MINIMUM QUALIFICATIONS:
Any combination of education, experience and training equivalent to high school graduation and two years of experience providing administrative support in the assigned functional area(s).

NECESSARY SPECIAL REQUIREMENTS:
The appointee to this position will be required to complete a criminal background check, a Child Protective Services Registry check, and sanction screening to the satisfaction of the employer. A TB screening upon hire and annually thereafter. Applicants and employees within these select positions must demonstrate financial responsibility in personal finances as a condition of employment.

This position is emergency/essential services personnel. (Required to report for duty during inclement weather and/or other emergencies).

PREFERRED QUALIFICATIONS:
  • At least one year of prior experience in third party billing.
  • Experience providing administrative support in a behavioral health/medical setting.
  • Experience utilizing electronic health records.
  • Knowledge of mental health billing.

PHYSICAL REQUIREMENTS:
Ability to travel to various locations to attend meetings; walk up and down stairs; bend/stretch; carry up to 25 lbs. Ability to use the keyboard; retrieve/transport medical records; auditory/verbal to answer phones; visual to type/read charts; and manually fill out forms. All duties performed with or without reasonable accommodations.

SELECTION PROCEDURE:
Panel Interview and may include a practical exercise.

Fairfax County Government prohibits discrimination on the basis of race, color, religion, national origin, sex, pregnancy, childbirth or related medical conditions, age, marital status, disability, sexual orientation, gender identity, genetics, political affiliation, or status as a veteran in the recruitment, selection, and hiring of its workforce.

Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. Contact 703-324-4900 for assistance. TTY 703-222-7314. EEO/AA/TTY.

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