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Lead Billing Specialist | |||||||||||||||||||||||||||||||||
Description: Company Summary: Beacon is a successful and national behavioral health company providing residential-based services and supports to children and adults Complex Behavioral Health conditions, Severe Mental Illness, Autism, and other compounding medical conditions. All activities related to this position must be delivered in compliance with the company's policies and procedures, accreditation standards, state and federal licensing requirements, HCBS guidelines, and the contractual requirements of Community Mental Health Agencies and other regulatory bodies. You are expected to be aligned with the goals and mission of the organization, and to perform in accordance with our "I CARE" core values of the organization - Integrity, Compassion, Advocacy, Respect and Excellence. Position Summary: The Lead Billing Specialist oversees daily billing operations to ensure accurate and timely invoicing, payment processing, and account reconciliation. This role provides leadership to the billing team, ensures compliance with organizational policies and regulatory requirements, and supports process improvements that enhance efficiency and financial performance. Supervisory Responsibilities: Billing Team Primary Responsibilities: • Always be compliant with all company and regulatory policies and procedures. • Oversee and manage the daily billing workflow, including invoice preparation, charge entry, claims submission, and payment posting. • Ensure all billing is accurate, complete, and submitted within required timelines. • Monitor aging reports and work with staff to resolve denials, discrepancies, and outstanding balances. • Review and approve billing adjustments, write-offs, and corrections. • Supervise, train, and support billing staff; assign workloads and manage performance. • Conduct regular team meetings and provide coaching, feedback, and development opportunities. • Ensure staff compliance with internal procedures, regulatory requirements, and industry best practices. • Serve as the point of contact for escalated billing questions and client/payer inquiries. • Maintain accurate records and documentation for audits and reporting. Team Member Expectations: • Must be compliant with company and regulatory policies and procedures. • Participate and contribute to weekly, bi-week or monthly leadership calls. Be prepared to report on applicable KPIs that best reflect the performance of your team. • Preserve and protect the privacy, confidentiality and security of all medical records, proprietary and other confidential information relating to Beacon Specialized Living, its Individuals, Team Members, activities and affiliates, in accordance with all applicable laws (especially HIPAA) and contract terms. • Promote Beacon in a positive manner and lead by example, modeling our core values in everyday behavior. • Monitors and corrects employee gossip, harassment, favoritism, and other negative social workplace behaviors to ensure a positive and productive work environment. • Understand how to approach and communicate with everyone at all levels. • Treat everyone with dignity and respect while responding to their needs. • Maintain and sustain a safe community environment and workplace. • Apply trauma-Informed Care principals recognizing the presence of trauma symptoms and acknowledging the role trauma may play in an individual's life. • Promote trauma-informed care at all levels of the organization and help create a culture that is sensitive to the feelings of our Individuals and avoid responding negatively to stigmas that they will never truly understand. • Follow Beacon's policies, procedures, and manuals. • Cooperates with Beacon Specialized Living, the Department of Human Services (DHS) staff or any other regulatory body during any inspection, investigation or inquiry. • Accept other duties as assigned. Professional Conduct and Management Effectiveness: In addition to evaluating your work performance you will be evaluated for the following work behaviors: • Job Knowledge: Depth and breadth of knowledge supporting our organization goals. • Quality of Work: Freedom from errors and mistakes, timeliness. Accuracy, quality of work in general. • Quantity of Work: Work output of the employee. • Reliability: The extent to which the employee can be dependent upon to be available for work, do it properly, and complete it on time. The degree to which the employee is reliable, trustworthy, and persistent. • Initiative and Creativity: The ability to plan work and to go ahead with a task without being told every detail and the ability to make constructive suggestions. • Judgment: The extent to which the employee makes decisions which are sound. Ability to base decisions on fact rather than emotion. • Cooperation: Willingness to work harmoniously with others in getting a job done. Readiness to respond positively to instructions and procedures. • Compliance: Always be compliant with all company and regulatory policies and procedures. • Attendance: Faithfulness in coming to work daily and conforming to scheduled work hours. • Planning and Organizing: The ability to analyze work, set goals, develop plans of action, utilize time, and delegate work as appropriate. Consider the amount of supervision required and the extent to which you can trust employees to carry out assignments conscientiously. • Directing and Controlling: The ability to create a motivating climate, achieve teamwork, train, and develop, measure work in progress, and take corrective action. • Decision Making: The ability to make decisions and the quality and timeliness of those decisions. • Problem Solving: The ability to assess a problem, identify options or solutions, formulate a plan, execute the plan, and achieve and sustain positive outcomes. • Embrace, support, and manage the business in accordance with Beacon's Mission and Core Values. Education and Qualifications: • Associate's or Bachelor's degree in Business, Accounting, Finance, or related field preferred. • 3+ years of billing experience, with at least 1-2 years in a supervisory or lead role. • Strong knowledge of billing procedures, coding (if healthcare), and reimbursement processes. • Must pass criminal background checks, central registry check (in applicable states) and child abuse registry (in applicable states). • Must complete and pass a drug test, in applicable states. • Must possess a valid Driver's License and have reliable transportation. • Proficient in speaking, reading and writing the English language. • Approved by state, federal and government entities to work within BSLS programs. • Ability to use office equipment, including BSLS information technology systems. Skills and Abilities: • Must be able to communicate and function in an interdisciplinary team. • Strong computer skills utilizing various software programs and applications. • Excellent oral and written communication skills. • Ability to create professional employee communication materials. • Capable of working well with all levels of the organization. • A professional demeanor. • Demonstrated ability to multi-task. • Ability to work with little daily supervision. Work Environment: Most of your job duties will be performed from an office. Travel: No travel required. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. Specific vision abilities required by this job include close vision and the ability to adjust focus. This would require the ability to lift files, open filing cabinets, and bend or stand on a stool as necessary. Position Type/Expected Hours of Work: This is a full-time position. Days and hours of work are Monday through Friday, 8:00 a.m. to 5:00 p.m. Occasional evening and weekend work may be required as job duties demand. 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. AAP/EEO Statement: It is the policy of Beacon to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Beacon will provide reasonable accommodation for qualified individuals with disabilities. This job description is intended to generally describe the nature and level of work required by the person assigned to this classification. It is not an exhaustive list of all duties and responsibilities. Other job duties and responsibilities may be assigned by the employer at the employer's sole discretion. This job description may be amended at any time by the employer. The employee signature below constitutes the employee's understanding of the requirements, responsibilities, and duties of the position. |