Iona is pleased to announce that we are hiring a full-time Billing Specialist to undertake a variety of financial and non-financial tasks to support the organization's finance department. We are a nonprofit organization that directly helps 3,000 older adults and families with the challenges and opportunities of aging in the greater Washington D.C. area. Since 1975, we have educated, advocated and provided community-based programs and services to help people age well and live well. Iona's suite of services includes Consultation, Care Management and Counseling (CCMC), our adult day centers in Tenleytown and Congress Heights, support groups, food and nutrition services including home-delivered meals, and more. For more information about Iona, please visit .
Iona is a warm and collegial workplace that promotes excellence in client services and is committed to diversity, inclusion, and the professional growth of employees.
SUMMARY:
This position will ensure all revenue types are being captured and that all billing is submitted and accounted for properly. This includes posting, collecting, and managing accounts, submitting claims, posting payments & adjustments, following up with insurance companies and individuals in arrears, reconciling accounts, daily balancing controls & reporting, issuing client statements and preparing monthly reports.
RESPONSIBILITIES:
- Prepares and submits clean claims to various insurance companies and individuals, either electronically or by paper.
- Posts payments, adjustments, transfer of responsibility and refunds, as necessary.
- Answers questions from clinical staff, insurance companies and individuals billed for services.
- Identifies and resolves client billing problems and manages client inquiries.
- Prepares, reviews, and sends patient statements, as necessary.
- Reviews accounts and makes recommendations regarding non collectible accounts.
- Performs various collection actions including contacting insurance company, contacting patients by phone, correcting and resubmitting claims to third party payers.
- Calls individuals in arrears to collect payments and/or work out payment plans.
- Prepares, reviews, and posts daily deposits received from customers.
- Processes payments and denials from insurance companies and individuals either electronically or manually.
- Maintains knowledge of payer requirements, including but not limited to authorizations per specific codes for claims submission, timely filing limits, and coverage limitations.
- Ensures accurate submission of all claims and timely collections in accordance with all third-party contract terms including Medicaid, Medicare, commercial insurance, and private pay.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Support Director of Finance in other finance/accounting related duties
- Other duties as assigned.
REQUIREMENTS:
- BA/BS in accounting, business management, commerce or finance preferred
- Knowledge of accounting, billing / collection practices
- Strong keyboard skills.
- Works well in environment with firm deadlines; results oriented.
- Performs multiple tasks effectively.
- Able to work both independently and as part of a team.
- Strong detail and analytical skills.
- Capable of making timely, independent decisions.
- Excellent oral, written, and interpersonal communications skill.
- Experience working with medical payers such as Medicaid, Medicare, and commercial insurance.
- Excellent organizational skills
- Previous medical billing experience preferred, along with knowledge of billing related reporting
- 2+ years' experience in health-care billing & insurance billing practices preferred
- Fully vaccinated against Covid-19