Sr. Medical Billing Specialist

ORGANIZATION OVERVIEW: At Catholic Charities of the Archdiocese of Washington, your knowledge and service in areas such as immigrants and refugees, mental health, social work, employment and adult education, legal and financial services, health care, food assistance, shelter and housing, developmental disabilities and prison outreach can make a profound difference in the lives of many. Through more than 50 programs across the district and five surrounding counties, Catholic Charities is opening doors to help and hope. At CCADW, we continue to build an inclusive culture that celebrates a diverse workforce. We offer so much more than just a job. We offer careers. We take pride in our "promote from within" culture. We offer professional development, a comprehensive benefits package, a hybrid work model with both remote and in-office work, and a passion for building and motivating world class, high performing teams. Explore your career opportunity with Catholic Charities. Join us in Inspiring Hope and Building Futures.

Compensation Package:

• Medical, prescriptions, dental and vision insurance
• Retirement savings plan with company match
• Company-paid and supplemental life insurance
• Flexible spending accounts
• Paid vacation, sick and personal leave
• 11 paid holidays
• Professional development and training
• Tuition reimbursement
• Employee referral bonus program
• Flexible work arrangements
• Clinical supervision for licensed social workers and counselors

JOB SUMMARY: The Medical Billing Specialist administers all financial aspects related to medical billing functions. This includes assisting with billing preparation, pursuing claims receivable collections and recording revenues and expenses in accordance with GAAP. The accounting-related duties include preparing monthly reconciliations, rolling forward schedules, and assisting in the preparation of the audit and working collaboratively across departments to oversee financial and compliance facets of all medical billing.

ESSENTIAL DUTIES and RESPONSIBILITIES:

• Perform the financial operations and administrative functions of all medical billing functions.
  
  
  
  
  1. 
     

     Serve as primary contact for medical billing.

     
     
  2. 
     

     Process electronic medical billing using Credible software.

     
     
  3. 
     

     Prepare accurate and timely reconciliations for the medical billing and ensure that the appropriate supporting documentation is prepared and maintained.

     
     
  4. 
     

     Ensure all medical billings agree with approved budgets and are submitted to the appropriate agencies.

     
     
  5. 
     

     Monitor P.O. spending for local government medical funding and identify the need for additional funding and/or budget modification.

     
     
  6. 
     

     Prepare journal entries for assigned portfolio.

     
     
  7. 
     

     Review cash receipts, ensuring they are correctly applied to each claim, including the 835 uploaded unapplied payments that are manually applied by the medical billing specialist team.

     
     
  8. 
     

     Manage accounts receivable functions for assigned portfolio including reviewing outstanding medical billing check coding list to ensure all payments received have been coded and applied to correct claim.

     
     
  9. 
     

     Distribute error reports and claim held report to Sr. Program Accounting Manager and the appropriate program personnel.

     
     
  10. 
      

      Apply medical payments into Credible system and research claim denials and exceptions.

      
      
  11. 
      

      Assist in processing the transmission of claims in the Credible billing software.

      
      
  12. 
      

      Perform monthly account receivable reconciliation to Credible and update revenue recorded in general ledger while addressing any reconciling items in a timely manner.

      
      
  
  
  
  
• Perform financial and administrative functions in support of the Finance department's overall goals.
  
  
  
  1. Reviewing the finance statement monthly.
  2. Confirm all agreements and amendments are scanned and electronically filed.
  
  
  
  
• Support Program staff in understanding the statement of activities for the program.
• Respond to program staff questions/inquiries promptly and professionally.
• Assist with the annual audit process.
• Perform other job-related duties as assigned.

EDUCATION and EXPERIENCE:

• 
  

  Associates of Arts degree in accounting, finance, business, or related field. Bachelor's degree preferred.

  
  
• 
  

  3 years' experience in accounting with focus on experience in full billing cycle.

  
  
• 
  

  1 year experience with medical billing.

  
  

SKILLS and COMPETENCIES:

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  Knowledge of medical billing software such as Credible. Knowledge of automated financial systems and procurement applications such as Great Plain.

  
  
• Proficient computer skills and knowledge of Microsoft Excel and SharePoint.