Program Administration and Billing Associate
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<div> <div> <div><span style="white-space-collapse: collapse;"><strong><span style="color: #56c2b6;">INSERT ENTITY,</span></strong> a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived.</span></div> </div> </div><p style="margin: 0in; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><span style="font-size: 10.0pt; font-family: Arial, sans-serif; color: black;">Program Administration Authorization and Billing Associate</span></strong></p> <p style="margin: 0in; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0in; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><span style="font-size: 10.0pt; font-family: Arial, sans-serif; color: black;">Location: </span></strong><span style="font-size: 10.0pt; font-family: Arial, sans-serif; color: black;">Remote, USA (Arizona)</span></p> <p style="margin: 0in; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><span style="font-size: 10.0pt; font-family: Arial, sans-serif; color: black;">Compensation: </span></strong><span style="font-size: 10.0pt; font-family: Arial, sans-serif; color: black;">$19-$20/hour<strong><br><br></strong>Do you want a job where you can use your background in medical administration/billing and make a positive difference in people’s lives? As <strong>Authorization and Billing Associate</strong>, you will serve as the liaison between the Operations and Finance departments and be responsible for all revenue recognition for each person served, as well as for obtaining authorizations and performing eligibility checks.</span></p> <p style="margin: 0in; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <ul style="margin-top: 0in; margin-bottom: 0in;" type="disc"> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Work with the program proactively to obtain eligibility and initial authorizations for all new admissions and “unfunded” persons served Utilize the main billing systems (Avatar & iServe) to capture service entry, admissions, discharges, and transfers prior to billing </span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Review eligibility and submit requests to the SSC to update payer information and/or changes </span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Manage and proactively obtain information on subsequent authorizations for all persons served until discharged; submit to the SSC for processing </span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Review attendance and meal counts for accuracy prior to charge entry; maintain supporting documentation (attendance, meal counts, and reconciled Trended Units Report) for service entry </span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Reconcile weekly and monthly service capture for all payers/individuals prior to billing </span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Participate in weekly/monthly AR calls, providing an overview of authorization and eligibility issues </span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Provide information to be used in the quarterly reserve process as needed </span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Ensure internal control compliance by adhering to audit requirements within all assigned areas, including maintaining an effective control environment which complies with external regulations </span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Assist with the resolution of any issues that could impact the timing of month-end close </span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Assist in the on-boarding of new hires by providing required training when necessary </span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Perform timely updating and modification of control design where necessary; oversee control remediation activities should exceptions be encountered in testing </span></li> </ul> <p style="line-height: normal; margin: 0in 0in 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><em><span style="font-size: 10.0pt; font-family: Arial, sans-serif; color: black;">Qualifications:</span></em></strong></p> <ul style="margin-top: 0in; margin-bottom: 0in;" type="disc"> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">High school diploma or equivalent required; Associate or Bachelor’s degree preferred</span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Experience with AZ-State Specific Insurance required</span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Knowledge with Autism and behavioral health s</span>ervices</li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Minimum of one year of experience in the medical administration field and/or medical billing</span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Experience with a payer online portal and knowledge of EDI 835 formatting preferred</span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Proficiency with Microsoft Word, Excel, and Outlook</span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Detail-oriented with ability to multitask</span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Demonstrated skills in communication, problem-solving, and data entry</span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Excellent communication skills with ability to respect and build rapport with others</span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Commitment to excellent customer service and support</span></li> </ul> <p style="line-height: normal; margin: 0in 0in 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><em><span style="font-size: 10.0pt; font-family: Arial, sans-serif; color: black;">Why Join Us? </span></em></strong></p> <ul style="margin-top: 0in; margin-bottom: 0in;" type="disc"> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Full compensation/benefits package for employees working 30+ hours/week</span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">401(k) with company match</span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Paid time off and holiday pay</span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Important work adding value to the organization’s mission alongside a great team of coworkers</span></li> <li style="color: black; line-height: normal; margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10.0pt; font-family: Arial, sans-serif;">Enjoy job security with nationwide career development and advancement opportunities</span></li> </ul> <p style="line-height: normal; margin: 0in 0in 8pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><span style="font-size: 10.0pt; font-family: Arial, sans-serif; color: black;">Come join our amazing team of committed, caring professionals. <em>Apply Today!</em></span></strong></p> <p style="text-align: center; margin-top: 0px; margin-bottom: 0px;" align="center"><span style="font-family: Arial; font-size: small;"><strong> </strong></span></p> <p style="text-align: center; margin-top: 0px; margin-bottom: 0px;" align="center"><span style="font-family: Arial; font-size: small;"><strong>AMERICANS WITH DISABILITIES ACT STATEMENT </strong></span></p> <p style="margin-top: 0px; margin-bottom: 0px;"><span style="font-family: Arial; font-size: small;">External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodation to be determined on a case by case basis via the interactive process. </span></p><div> <div> <p style="margin: 0px 0in;"><span style="background: white; font-family: Arial, sans-serif; font-size: 10pt; white-space: normal;">Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. <br><br>We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S. <br> </span></p> <p style="margin: 0px 0in;"><em>As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.</em><span style="white-space-collapse: collapse;"> </span></p> </div> </div>