Billing Systems Specialist

Description

Help power life-changing services behind the scenes. Manage Medicare and insurance billing, claims follow-up, and collections to support JFCS programs serving the Bay Area.

AGENCY OVERVIEW:

Jewish Family and Children's Services (JFCS) has served the San Francisco Bay Area for 175 years. We offer world-class services to support individuals and families across all stages of life, including adoption, mental health, senior care, disability services, financial assistance, Holocaust education, and youth development. Our mission and work are rooted in Jewish values, and we serve people of all faiths and backgrounds.

POSITION SUMMARY:

Under the supervision of the Billing Systems Manager (BSM), the Billing Systems Specialist (BSS) is responsible for third party billing and follow up for clinical programs of the Agency, posting payments for client fees, and SmartCare data entry. Additionally, the BSS reviews client billing data required for third party billing, generates third party invoices, and is responsible for follow-up on the related receivables to ensure timely collection of outstanding amounts.

Candidates must be authorized to work in the United States without current or future employer sponsorship. The company does not provide visa sponsorship for this position.

COMPENSATION AND BENEFITS:

• Pay Range: $35.00 - $40.00 (depending on experience)
• Employment Type: full-time, non-exempt position with benefits
• On-site position, working out of the San Francisco office 
• Employer 403(b) retirement match plus additional employer contribution (subject to eligibility)
• Cafeteria plan with medical, dental, vision, FSA, Employer-paid life, and disability insurance
• 16 holidays (10 federal and up to 6 Jewish holidays), annually
• 3 weeks of vacation and 2 weeks of sick leave, annually

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• In conjunction with other billing staff, collects, reviews, and enters time and billing data for client and third-party billing
• Enters 3rd party billing information, including Medicare, indemnity insurance and/or other third-party payer information into the SmartCare system and ensures that data is current and entered correctly and accurately
• At month end, generates and distributes claims to Medicare and third-party payers as well as producing reports and journal entries
• Maintains knowledge of basic client/billing SmartCare system functioning; performs back-up as needed for SmartCare operations including billing, monthly closing, report generation and record maintenance
• Reviews insurance and Medicare monthly billing for completeness and accuracy; assists in getting clients enrolled for Medicare billing, if they qualify
• Posts payments for SmartCare into its accounting system; downloads and reviews Authorize.net credit card transactions daily, verifies settlement status, identifies and classifies payments to the correct client, program and account, and resolves unidentified or misapplied payments
• Performs follow-up for delinquent accounts and rejected third-party claims (insurance, managed care, Medicare and Medi-Cal); resolves billing disputes or discrepancies; coordinates with branches, clinicians and Finance to resolve billing and payment discrepancies
• Reconciles monthly Aging reports; registers clients for San Francisco and Peninsula and enters clients for all regions into the SmartCare system; provides back up and support for other billing staff members in the event of staff absences or workload demands

JOB QUALIFICATIONS:

• Bachelor’s degree in Accounting, Business Administration or a related field preferred
• Minimum of three years of relevant professional experience in accounts receivable, accounting, bookkeeping, or related work required
• Medical billing experience (Medicare and insurance) in an institutional setting strongly preferred
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) required
• Experience with EHR system preferred

All qualified applicants are encouraged to apply, including minorities, women, veterans, and disabled individuals. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status. JFCS is an Equal Opportunity Employer.