Billing Specialist - Bilingual Spanish/English Required in Sierra Vista, Arizona at Lutheran Social Services of the Southwest
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Job Description
Join Our Mission:
If you are detail-oriented, organized, and enjoy helping teams stay accurate and on track, join us in fulfilling the mission of LSS-SW to stabilize people during crisis and transition, build a foundation where people can thrive, and preserve dignity and respect for our community's most vulnerable members, and our vision of “A future where all people thrive.”
Position Overview:
The Billing Specialist supports accurate, timely, and compliant billing and claims processes for LSS-SW programs. This position is responsible for daily client and billing data entry, reviewing billing records, tracking authorizations and billable services, resolving discrepancies and payer denials, and preparing billing and timekeeping reports. The role works closely with program leadership, funders, and Accounts Receivable/Accounts Payable to identify and resolve issues and support accurate reimbursement.
A key part of this position is developing advanced proficiency in the Electronic Visit Verification (EVV) system and serving as a primary resource for staff. This includes providing EVV training and ongoing support, helping staff follow established procedures, and promoting accurate and consistent use of the system.
The ideal candidate is highly organized, detail-oriented, and dependable, with strong communication skills and the ability to manage time-sensitive priorities. This position requires someone who can work independently, use sound judgment, and maintain a high level of accuracy while supporting the needs of clients, staff, and the organization.
Key Responsibilities:
Billing, Claims & Data Management
- Complete daily client and billing data entry accurately and within required timelines.
- Review billing and payroll records to ensure accuracy and support timely reconciliation and claims submission.
- Monitor and track over- or under-served billable records and communicate concerns with Program Directors.
- Review authorizations and referrals and communicate with funders as needed to ensure information is current and accurate.
- Investigate payer denials, complete resubmissions, and track follow-up plans through resolution.
- Work with Accounts Receivable and Accounts Payable to identify and correct billing issues within the applicable pay cycle.
- Prepare employee timekeeping reports, billing reports, and supporting documentation.
EVV Training & Support
- Develop and maintain advanced proficiency in the Electronic Visit Verification (EVV) system.
- Serve as a primary resource for staff regarding EVV processes, procedures, and requirements.
- Provide EVV training and ongoing support to staff to promote accurate and consistent system use.
- Monitor compliance with established EVV processes and identify opportunities for improvement.
Program & Financial Support
- Monitor and track grants, project funds, and payment authorizations.
- Review payer invoices and statements to identify errors or discrepancies.
- Assist with supervisory home visits and communicate client status changes or other concerns to the Program Supervisor.
- Answer incoming telephone calls and inquiries and direct questions to the appropriate staff member.
- Follow established safety, health, and environmental protocols for clients, employees, and the workplace.
- Maintain a positive, professional, and collaborative approach when working with team members.
- Perform other duties as assigned.
Qualifications:
- High school diploma or equivalent required; additional education or relevant experience preferred.
- Experience with billing, claims processing, data entry, payroll/timekeeping, healthcare or human services billing, or a related field preferred.
- Experience working with electronic billing, payroll, or EVV systems preferred.
- Proficiency in Microsoft Office, including Excel and Word.
- Strong attention to detail and ability to accurately enter and review information.
- Ability to prioritize workload, manage deadlines, and work independently.
- Strong verbal and written communication skills.
- Ability to work effectively as part of a team and maintain a professional and service-focused approach.
Other Requirements:
- Maintain a valid Arizona Driver License, acceptable driving record, and reliable transportation.
- Ability to travel as needed throughout Southern Arizona, specifically Cochise County
- Maintain a valid Level 1 Fingerprint Clearance Card.
- Must provide proof of freedom from TB
- Maintain First Aid and CPR certification.
- Must successfully complete all required background checks
Physical Demands:
- While performing the duties of this job, the employee may be required to sit or stand for extended periods of time.
- The employee frequently uses hands to operate computers, telephones, and other office equipment.
- The employee may occasionally be required to lift and/or move up to 50 lbs.
Reasonable Accommodation Statement: We are committed to providing an inclusive and accessible workplace. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.