Billing Specialist – Medicaid

About Homeward Pikes Peak

The mission of HPP is to work with individuals and families in our community to achieve their full potential through supportive housing and recovery services, to rebuild dignity & self-sufficiency, and permanently exit homelessness.  Our efforts focus on overcoming the barriers to developing and maintaining stable housing and sober living.  To do this, we adhere to commonly held social work values of service, social justice, dignity and worth of the whole person, importance of human relationships, integrity, and competence.  We believe that these values infuse the work of HPP and are a guidepost to which our staff and partners should aspire.

SUMMARY

The Billing Specialist works with our supportive housing programs to ensure billing is done timely and accurately for Medicaid. This role is responsible for completing billing claims timely in order to receive reimbursement for services.  This is a full-time position and may have the option to work in the main office or hybrid with some days working remotely.

DUTIES AND RESPONSIBILITIES

  • Responsible for organizing, submitting, and managing the billing of our residential treatment centers for Medicaid Billing.
  • Works closely with the Program Managers of each treatment center to capture all billable services for clients. Works with new client intake paperwork for new client data.
  • Coordinates with counseling team members to ensure all encounters are ready for billing each month.
  • Uses an electronic health record system to track and prepare billing for all client encounters.
  • Ensures accuracy of documentation, follow-ups on denied claims, and resolves billing problems.
  • Creates summary reports of all billing activity for management regularly and as requested.
  • Performs other duties as assigned.

HOMEWARD PIKES PEAK TEAM RESPONSIBILITIES

  • Attends and participates in staff meetings.
  • Attends, participates and interacts with donors or fundraising events as requested.
  • Produces documentation daily, and as requested for audits or other business requirements.
  • Maintains work and office environment to professional standards.

 KNOWLEDGE, SKILLS, ABILITIES and MINIMUM QUALIFICATIONS

  • High School Diploma or GED.
  • One (1) year of medical and Medicaid billing experience in Colorado, including knowledge of claims processing, denials, and appeals.
  • Proficiency in general computer skills and Microsoft Office applications including Word, Excel, and Outlook. Experience with word processing, spreadsheets, and databases.
  • Outstanding communication skills with the ability to communicate clearly and effectively both verbally and in writing.
  • Knowledge of and experience with Availity or other billing systems.
  • Understanding of HIPAA regulations and standards regarding privacy and confidentiality in the provision of therapy services and medical billing.
  • Knowledge of basic care coordination, medical / hospital operations, and community resources.
  • Employment is contingent upon completion of a satisfactory criminal background check, and a post-offer pre-employment drug screen.
  • Valid Colorado driver’s license, clean driving record, and must have personal vehicle insurance.

PHYSICAL DEMANDS:

  • While performing job duties, the employee will be regularly required to sit and stand for the duration of their shift.

COMPENSATION AND BENEFITS

  • The salary for this position is $16.00 – $21.00 per hour, depending on experience. This is a full-time non-exempt position.

 BENEFITS:

  • Medical, Dental & Vision – employer pays 50% of premium
  • Life, accidental death and dismemberment, and short-term disability insurance – employer pays 100%
  • 401k – employer match is 1%
  • 18 days of vacation for years 0-5 accruing annually
  • 6 days of paid sick leave accruing annually
  • 6 paid holidays + 4 floating holidays
  • Employee Assistance Plan – employer pays 100%

HOW TO APPLY:

Submit resume and cover letter to:  amelbourne@homewardpikespeak.org, with Billing Specialist in the subject line.

Homeward Pikes Peak is an equal-opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Homeward Pikes Peak makes hiring decisions based solely on qualifications, merit, and business needs at the time.