Billing Operations Specialist

1 week ago

Fridley, Minnesota, United States Rise Incorporated Full time

Position Overview:

At Rise Incorporated, we are dedicated to empowering individuals to lead fulfilling lives through our comprehensive services in employment, housing, and personal development. Our nonprofit organization thrives on a mission-driven culture that fosters growth and learning among our team members. We offer competitive compensation, extensive training, and a vibrant work environment aimed at making a significant impact in the lives of those we serve.

Role Summary:

The Billing Operations Specialist is responsible for overseeing and ensuring the precision and promptness of billing documentation across various service programs and funding sources.

Key Responsibilities:

  • Maintain relationships with payers and manage contracts, including updates to terms and conditions.
  • Oversee billing configurations in the MyEvolv software system, ensuring all essential information is accurately recorded, including service details, eligibility of individuals served, and funding sources.
  • Evaluate internal billing processes and identify opportunities for enhancement or efficiency improvements. Understand and utilize the billing functionalities within the MyEvolv system, including benefit assignments and billing regulations.
  • Assist program managers in the billing preparation process by collecting, organizing, and entering necessary data in accordance with established timelines and procedures.
  • Collaborate with team members to optimize the rate of clean claims and troubleshoot any issues that may disrupt billing operations.
  • Work alongside billing specialists and administrative personnel to resolve denied claims and address any discrepancies with various funding sources.
  • Support the management of accounts receivable and assist in collection efforts.
  • Conduct quality assurance and internal audits to ensure compliance with billing codes, regulations, and guidelines.

Essential Competencies:

  • Communication: Articulate thoughts clearly; actively listen; write effectively; build rapport; act with integrity.
  • Customer Service Orientation: Prioritize the needs of both internal and external customers.
  • Interpersonal Skills: Foster positive relationships; appreciate diversity; handle conflicts with professionalism; demonstrate adaptability.
  • Self-Management: Utilize time efficiently; focus on key priorities; manage multiple tasks effectively.
  • Empathy: Show genuine concern for others; be available to assist; demonstrate understanding of others' experiences.
  • Determination: Approach tasks with enthusiasm and persistence; remain committed to achieving results despite challenges.

Qualifications:

  • Minimum of two years of experience in billing, ideally within healthcare, human services, or nonprofit sectors.
  • Associate degree or equivalent in accounting, finance, business administration, or a related field is preferred.
  • Proficiency in Microsoft Office, particularly Excel.
  • Familiarity with billing software, especially MyEvolv, is advantageous.
  • Understanding of billing regulations for various funding sources.
  • Strong attention to detail and organizational skills.
  • Excellent communication and interpersonal abilities.
  • Capacity to work independently and collaboratively.
  • Adept at prioritizing and managing multiple deadlines.
  • Compliance with organizational background checks is required.

Compensation and Benefits:

  • Salary: Competitive hourly wage based on qualifications.
  • Standard daytime work hours with no major holiday shifts.
  • Opportunities for career advancement in Social Work, Human Services, or Healthcare.
  • Comprehensive medical and dental insurance options.
  • 401(k) plan with employer matching.
  • Flexible Spending Account (FSA) options.
  • Generous Paid Time Off (PTO) policy, plus additional paid holidays.
  • Tuition reimbursement and professional development training provided.
  • Inclusive employee resource groups to foster community and support.

At Rise Incorporated, we value diversity and strive to create an inclusive environment where all team members feel respected and valued. We encourage individuals from all backgrounds to consider joining our mission-driven team.

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