The Salvation Army Mission: The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination.
Summary/Primary Purpose: This position is responsible for billing, electronic claims submission, follow up and collections of Medicaid and other insurance payments.
Essential Duties and Responsibilities:
File both electronic and paper claims for payment ensuring accuracy and speed. Review payment denials to determine that procedures were coded accurately and properly rejected by carrier. Prepare appeals and resubmit when claims have been improperly submitted or denied. Work with staff to gather additional documentation that may be needed to resolve claim denials. Verify eligibility with insurance companies and other financial institutions. Maintain strict confidentiality. All other duties as assigned.
Supervisory Responsibilities: Not applicable.
Education and/or Experience: High school diploma or equivalent. One to two years' experience in medical claims processing with proficient knowledge of claims payment laws, medical terminology, CPT and ICD1 coding.
Qualifications: The requirements listed below are representative of the minimal knowledge, skill, and/or ability required for this position.
Ability to be flexible and able to work on multiple projects or tasks simultaneously Intermediate skills in Microsoft software to include Word, Excel, PowerPoint and Access. As well as the ability to access payroll, timekeeping and personal data via a web-based system. Administrative skills to include utilization of standard office equipment, data entry, 10-key, attention to details and filing. Good communication skills both written and spoken, and ability to maintain effective working relationships. Demonstrated ability to handle confidential matters.
Other Qualifications: Must pass all applicable background checks. Must possess a valid driver's license from the state in which you reside. Must be approved through The Salvation Army Fleet Safety Program to drive either a Salvation Army or personal vehicle on Salvation Army business. Must successfully complete Safe from Harm training within 90 days of hire, as established by The Salvation Army.
Certificates, Licenses, Registrations: None required.
Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Employee may often be required to engage in rigorous activities. Limited amount of physical effort required associated with walking, standing, lifting and carrying objects (50 lbs.)
Working Conditions: The work environment is a business office setting with office equipment, light traffic and moderate noise levels.
All employees recognize that The Salvation Army is a church and agree that they will do nothing as an employee of The Salvation Army to undermine its religious mission.