Billing Specialist
Organization Overview
All God’s Children, Inc. (AGC) is a nationally accredited, private, 501(c)3 corporation that has been nurturing the spirit and building the character of parents and their children since 1999. The purpose of AGC is to provide comprehensive care, treatment and education to families in need, because we believe that…
Families possess the most powerful influence in the world.
The future is most influenced by the wellbeing of the family.
Wellbeing grows when families are supplied with clarity and courage.
In light of these guiding principles, we believe it’s our duty to supply the world’s greatest influence with clarity and courage.
Position Overview
AGC is seeking to hire a full-time Billing Specialist to collaborate with our team of exceptional professionals who provide mental health and counseling services to children, adolescents, adults and families in our community. The ideal candidate has experience and understands the technical world of billing for mental health services for both commercial insurance providers and Kentucky Medicaid providers. This role will be integrated into AGC’s Behavioral Health Services Organization (BHSO) and will report directly to the Program Director. While remote work is an option for this position, the agency recognizes and places an emphasis on a team-based approach and work culture so office-based work is an option and encouraged.
Essential Duties and Responsibilities
Collects Medicaid and insurance reimbursements by gathering, coding, and transmitting patient care information.
Keeps up to date on information required for remittance of patient care by Medicaid and commercial insurance and communicates this information to fellow billing staff.
Reviews patient mental health records to check for proper Medicaid/Insurance coding and completeness and makes corrections accordingly.
Analyzes client billing records for completeness and accuracy and obtains additional information and clarification as necessary.
Resolves billing discrepancies by conducting further research and correcting errors.
Resolves disputed claims by consulting with state Medicaid administration claims clerks and following up on all bills not processed within the usual claim period.
Prepares reports based on Medicaid or commercial insurance billing data and revenue.
Ensures payments by verifying accuracy of claim coding.
Bills Medicaid and commercial insurance carriers by inputting billing information into databases.
Resolves disputed claims by gathering, verifying, and providing additional information and following up on claims.
Resolves discrepancies by examining and evaluating data.
Adjusts client bills by reviewing remittance advice and consulting with the Medicaid office.
Prepares monthly reports of Medicaid billings, adjustments, and revenues received.
Participates in professional educational opportunities to keep current on insurance billing and reimbursement procedures.
Serves and protects the mental health counseling community by adhering to professional standards, agency policies and procedures; federal, state, and local requirements; and Council on Accreditation (COA) standards.
Education / Experience
Previous billing experience (required)
Associates or Bachelor’s Degree (preferred)
Previous experience billing for Mental Health/Counseling companies (preferred)
Experience in working in a professional office environment
Solid technology skills and intuition (Google Workspace & Microsoft Office)
Professional Characteristics
Integrity, discretion, and respect for confidentiality and privacy
Excellent oral communication skills and the ability to resolve misunderstandings and errors in a diplomatic manner
Typing, computing, and data entry skills
Good communication, interpersonal, and customer service skills
Analytical skills
Ability to prioritize and work under pressure
Time management
Organizational skills
Attention to detail
Strong spelling, math, and financial skills
Documentation skills
Typing and data entry proficiency
Personal Characteristics
The following seven (7) items represent how AGC staff strives to bring their personal best to the workplace every day, while relating well to one another in the process. We call it the AGC M.O. (modus operandi), and while it certainly points to behavioral expectations, the AGC Team confesses that, unfortunately, this is not always who we are. However, the personal and professional pursuit of this ideal is non-negotiable for all staff and best represents the personal journey required for any job at AGC.
BE ASSERTIVE: Take action… instead of complaining
BE WISE: Blame the system… instead of blaming the person
BE GRACIOUS: Assume positive intent… instead of assuming anything else
BE DIRECT: Directly confront with gentleness… instead of brooding or triangulating
BE COURAGEOUS: Voice opinions respectfully… instead of passively withholding
BE ADAPTABLE: Detach from your ideas… instead of risking unity and momentum
BE DRIVEN: Fight for excellence… instead of settling for completion
