COMPANY OVERVIEW

Volunteers of America Chesapeake & Carolinas empowers self-reliance and inspires hope. As a church without walls, we do this through personalized housing, ministry, health, and human services that benefit vulnerable individuals, their families and the community. Founded in 1896 in Baltimore, MD by social reformers, Ballington and Maud Booth, we were one of the first of over 30 affiliates of Volunteers of America – one of the nation’s largest and most comprehensive human services organizations.

Our founders envisioned a movement dedicated to reaching and uplifting the American people. On behalf of the organization, the Booths pledged “to go wherever we are needed, and do whatever comes to hand”. Their declaration continues to guide Volunteers of America's impact on “Helping America’s most vulnerable”.

Through a dedicated and committed team of more than 850 employees and thousands of volunteers, we provide critical care, support services and hope to thousands of people each year throughout Virginia, Maryland, the District of Columbia and the Carolinas. We firmly believe our employees drive the success of the organization. Through our diversity, equity and inclusion efforts, we endeavor to attract, engage and retain qualified, diverse, compassionate individuals to join our journey and experience a work environment that offers challenging, stimulating and financially rewarding opportunities.

JOB SUMMARY

The Billing Specialist supports the Director of Billing and Utilization Management in the performance of all record keeping, claims tracking/billing, and payment posting of the District of Columbia programs. The Billing Specialist will possess the ability to interact positively with others in an office/service environment with excellent customer skills. He/she must be able to write and communicate well; perform appropriate office tasks such keeping records, scanning, checking mail, etc. Considerable data entry will be required. He/she must possess the ability to complete Medicaid billing requirements and navigate HCFA documentation and the DMAS system.

RESPONSIBILITIES:

• Works closely with Executive Program Director, Billing/Records Manager and Program Coordinators in ensuring that all record-keeping meets compliance standards with various regulatory entities to include but not limited to: Department of Disability Services, Department of Health, Quality Trust, Department of Health Care Finance, Medicaid and internal quality assurance standards.
• Maintain documentation of all census data as submitted by Coordinators/Clinical Supervisors/Nurses.
• Complete necessary billing forms accurately and submit to Medicaid/MCOs/payor for payment.
• Provide support in tracking of denials and resubmittals. Maintain accurate and organized filing of all documents submitted and reports issued.
• Accurately complete all required data entry.
• Coordinate all incoming and outgoing correspondence (paper claims/adjustments); dating and stamping all documents as appropriate.
• Work Batch Claim Error Report/ Medicaid Reconciliation Report
• Under the direction of the supervisor, complete program reports accurately and disburse them in a timely manner.
• Collect, track and document payments as identified by Program Director or Billing Office.

EFFECT ON END RESULT:

• Accurate and complete records on time.
• Clean claims
• Efficient administrative support for the staff and persons supported.
• Efficient functioning of the DC programs business office.
• Presents a good public image of VOAC and its purpose

PHYSICAL REQUIREMENTS:

The physical requirements described below are representative of those that must be met by an employee to successfully perform the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

• The physical ability to travel to assigned locations, stand, stoop, bend, reach, pull, push, lift, grasp, climb, talk, see, hear and perform basic and light home maintenance activities, and operate office equipment.
• Operating office equipment requiring continuous or repetitive hand/arm movements.
• The ability to remain in a sitting position for extended periods of time

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

REQUIREMENTS

• High school diploma or GED required and
• 3 to 5 years of experience working as a Medical Biller or within a related field.
• DC Medicaid experience
• Working experience with CPT-10 Coding
• Excellent experience with recovery and denied claims.
• Excellent Computer Skills in Microsoft Office and office products.
• Excellent written and verbal communication skills.
• Proven ability to for conflict resolutions
• Bilingual in any language a plus