Partners For Quality
Overview
ORGANIZATION: Partners For Quality, Inc.
DEPARTMENT: Fiscal
POSITION: Billing Specialist - II
STATUS: Full Time; 37.5 hours/week
SCHEDULE / HOURS: Monday through Friday; 8:00 AM - 4:00 PM
LOCATION: Robinson Township
Partners For Quality Inc. (PFQ) is a private, non-profit organization based in Robinson Township. PFQ provides administrative management to five subsidiary organizations that support local individuals with intellectual & developmental disabilities and behavioral health challenges. PFQ’s management services include Fiscal (including payroll), HR, IT and Communications, enabling subsidiaries to focus on their day-to-day priorities.
Responsibilities Reports to the Revenue Cycle Director and/or Manager. Responsible for ensuring the accurate and timely processing of claims for PFQ’s family of agencies’ Mental & Behavioral Health and Intellectual Disabilities/Autism services. Monitor and respond to unpaid claims, denials and appeals to minimize days outstanding of accounts receivable. All responsibilities shall be completed in a manner consistent with Vision, Mission and Values of PFQ.
Prepare and submit invoices or claims to Medicaid, Medicare, private insurance, and other funding sources.
Verify client eligibility for services, when applicable.
Track and follow up on unpaid claims, denials, and appeals.
Work with programs to navigate and mitigate failed claims, develop reports, and share with program staff; track additional information as needed.
Troubleshoot and resolve complex billing systems.
Financial & Administrative Support
Maintain accurate records of billing transactions, payments, and outstanding balances.
Assist with reconciliation of accounts and resolve billing discrepancies.
Work with finance and program staff to ensure proper documentation for services rendered.
Respond to inquiries from clients, insurance companies, and internal staff regarding billing issues.
Prepare and maintain additional reports as requested.
Perform other related duties as assigned.
Compliance & Documentation
Ensure compliance with federal, state, and agency-specific billing regulations.
Keep up to date with changes in healthcare billing codes and payer policies.
Maintain confidentiality of client financial and personal information in accordance with HIPAA.
Understand and comply with PFQ Financial Policies and PFQ Corporate Personnel Policies and Procedures.
Benefits
Full-time employees enjoy a comprehensive benefits package:
Health, Dental and Vision Insurance
$1,200 cash payout option in lieu of Health Insurance coverage
Healthcare Flexible Spending Account
Dependent Care Flexible Spending Account
16 to 26 Paid Days Off per year
Wellness Days (2 per year)
Sick Time
8 Paid Holidays
Short Term Disability
Long Term Disability
Life Insurance
Optional 401(k) with Employer match
Work Perks
Paid orientation and training
Free parking (select locations)
Employee Activities, Rewards and Recognition Programs
Comprehensive Employee Assistance Program
Qualifications
Associate degree required or bachelor’s degree preferred
3-5 years’ experience in a human services agency in medical or social services billing, Medicaid/Medicare claims processing, or financial administration
Proficiency in Microsoft Excel & Word applications
Knowledge of medical billing software and/or electronic health records (EHR) systems
Strong attention to detail and problem-solving skills
Ability to work independently and as part of a team in a fast-paced environment
Valid Driver’s License and acceptable driving record
Act 33, 34 and FBI Clearances
Equal Opportunity Employer : Partners For Quality and its family of agencies are an equal opportunity employer. EOE
How to apply: Interested applicants can apply online or email resumes to Careers@PFQ.org
Note: This job posting reflects the current opening and responsibilities and is not a guarantee of employment.
#J-18808-Ljbffr
DEPARTMENT: Fiscal
POSITION: Billing Specialist - II
STATUS: Full Time; 37.5 hours/week
SCHEDULE / HOURS: Monday through Friday; 8:00 AM - 4:00 PM
LOCATION: Robinson Township
Partners For Quality Inc. (PFQ) is a private, non-profit organization based in Robinson Township. PFQ provides administrative management to five subsidiary organizations that support local individuals with intellectual & developmental disabilities and behavioral health challenges. PFQ’s management services include Fiscal (including payroll), HR, IT and Communications, enabling subsidiaries to focus on their day-to-day priorities.
Responsibilities Reports to the Revenue Cycle Director and/or Manager. Responsible for ensuring the accurate and timely processing of claims for PFQ’s family of agencies’ Mental & Behavioral Health and Intellectual Disabilities/Autism services. Monitor and respond to unpaid claims, denials and appeals to minimize days outstanding of accounts receivable. All responsibilities shall be completed in a manner consistent with Vision, Mission and Values of PFQ.
Prepare and submit invoices or claims to Medicaid, Medicare, private insurance, and other funding sources.
Verify client eligibility for services, when applicable.
Track and follow up on unpaid claims, denials, and appeals.
Work with programs to navigate and mitigate failed claims, develop reports, and share with program staff; track additional information as needed.
Troubleshoot and resolve complex billing systems.
Financial & Administrative Support
Maintain accurate records of billing transactions, payments, and outstanding balances.
Assist with reconciliation of accounts and resolve billing discrepancies.
Work with finance and program staff to ensure proper documentation for services rendered.
Respond to inquiries from clients, insurance companies, and internal staff regarding billing issues.
Prepare and maintain additional reports as requested.
Perform other related duties as assigned.
Compliance & Documentation
Ensure compliance with federal, state, and agency-specific billing regulations.
Keep up to date with changes in healthcare billing codes and payer policies.
Maintain confidentiality of client financial and personal information in accordance with HIPAA.
Understand and comply with PFQ Financial Policies and PFQ Corporate Personnel Policies and Procedures.
Benefits
Full-time employees enjoy a comprehensive benefits package:
Health, Dental and Vision Insurance
$1,200 cash payout option in lieu of Health Insurance coverage
Healthcare Flexible Spending Account
Dependent Care Flexible Spending Account
16 to 26 Paid Days Off per year
Wellness Days (2 per year)
Sick Time
8 Paid Holidays
Short Term Disability
Long Term Disability
Life Insurance
Optional 401(k) with Employer match
Work Perks
Paid orientation and training
Free parking (select locations)
Employee Activities, Rewards and Recognition Programs
Comprehensive Employee Assistance Program
Qualifications
Associate degree required or bachelor’s degree preferred
3-5 years’ experience in a human services agency in medical or social services billing, Medicaid/Medicare claims processing, or financial administration
Proficiency in Microsoft Excel & Word applications
Knowledge of medical billing software and/or electronic health records (EHR) systems
Strong attention to detail and problem-solving skills
Ability to work independently and as part of a team in a fast-paced environment
Valid Driver’s License and acceptable driving record
Act 33, 34 and FBI Clearances
Equal Opportunity Employer : Partners For Quality and its family of agencies are an equal opportunity employer. EOE
How to apply: Interested applicants can apply online or email resumes to Careers@PFQ.org
Note: This job posting reflects the current opening and responsibilities and is not a guarantee of employment.
#J-18808-Ljbffr