Administrative Assistant 2

The Administrative Assistant 2 H&HS ARC is responsible for processing and depositing payments for Medicare, Medicaid and private insurance claims related to the Department of Health and Human Service clients. This role processes secondary and denied charges and will be a back-up to the billing specialist.  This role also reviews authorizations for the Children’s Long-Term Support program and assists with billing and financial reconciliations for the program.  Regular attendance, punctuality and adherence to the schedule work hours are essential, as are truthful and accurate communication in all written and verbal interactions. 

Essential Job Functions

1. Processes payments which include posting to the client’s individual account by electronic funds transfers and by entering information from explanation of benefits forms from insurance companies and assigning revenue account numbers.  Completes deposits into appropriate accounts through the financial software system.  
2. Processes vendor prior authorizations for the Children’s Long-Term Support (CLTS) Waiver Program and Birth to Three. Monitors units available for each service and child and reports spending to the state for county purchases for the program.
3. Assists Client Account Specialist with researching and reconciling unpaid or underpaid claims.
4. Corrects and resubmits secondary claims to insurance companies as needed. 
5. Communicates with Medicare, Medicaid and private insures to resolve issues. Researches and follows policies from the Center of Medicare and Medicaid services.
6. Completes monthly write off process from insurance denials.
7. Processes various billing for shared county functions and restitution payments.
8. Assists Billing Specialist with credentialing of new mental health and AODA providers for the agency.  Contacts insurance providers to ensure licensure or certification has been met for billing purposes.
9. Processes payments for services provided by Public Health. Submits flu clinic insurance claims.
10. Tracks, submits, and completes various reports for the state and other local Consortium’s for services provided in Door County.
11. Other administrative duties as assigned.

General Job Functions

1. Assists the Client Account Specialist in detecting billing problems.
2. Assists Accounts Payable as back up with disbursement of gas/credit cards.

Required Training and Experience

1. One (1) to three (3) years of progressive work experience (within the past three years) and knowledge of policies and procedures pertaining to medical billing to Medicare, Medicaid, and Private insurance; or

1. Associate degree in accounting or related field (preferred).

Knowledge, Skills, and Abilities Required

1. Ability and skill in use and operation of a personal computer is required (knowledge of Microsoft Excel and Word highly desirable) and experience working with a electronic health record program is desirable.
2. Ability to follow instructions and complete work within established deadlines for electronic health billing system with a high degree of accuracy is required.
3. Strong math, grammar and problem-solving skills.
4. Ability to set work priorities and adapt to change in technology and work environment.
5. Ability to follow the County’s policies on maintaining the confidentiality of all client clinical and billing records.
6. Ability to read, comprehend, and communicate, both verbally and in writing. 
7. Ability to use tack and courtesy in maintaining an effective working relationship with county employees, supervisors, officials, and general public.