Salary: $23.60 per hour
Sign-on bonus: $2000 for full-time positions
FUNCTION:
The Senior Billing Specialist supports the organization's day-to-day billing operations and revenue. This position performs daily, weekly, and monthly billing functions. This position reports to the Billing Manager.
CORE RESPONSIBILITIES:
- Primarily responsible for submitting weekly claims using the state databases and various in-house billing software systems.
- Performs claim resubmissions, corrections, and voids as necessary which includes investigation and tracking of rejected and denied claims.
- Processes trade files and remittances from the Department of Public Welfare.
- Acts as a point of contact between program staff and billing staff on related billing issues and adjustments.
- Attends meetings and works closely with software consultants.
- Assists Billing Manager with providing necessary documents and support for internal and external audits and monitoring.
- Completes all revalidation applications with Pennsylvania Department of Human Services.
- Will act as a back-up for Billing Specialist as needed.
QUALIFICATIONS:
- Associate's degree in Accounting, Finance, or related field preferred.
- Electronic claim experience.
- Proven ability in billing software such as PROMISE, etc.
- Strong attention to detail and commitment to accuracy.
- Solid work ethic and dedication to meeting deadlines.
- Flexibility to adapt to changing priorities and requirements.
- Must satisfy Pennsylvania Act 33 and 34 requirements.
- Possession of a valid Pennsylvania driver's license and a properly-insured vehicle for daily use.
Working Environment:
- Full-time position with hybrid flexibility.
- On-site in the Pittsburgh office 3 days weekly and 2 remote days after two months.
Why Join Achieva?
- Purpose-Driven Work
- Supportive Environment
- Comprehensive Benefits
- Health, Dental, and Vision Insurance with low employee contributions
- Company-Paid Life, AD&D, and Long-Term Disability Insurance
- 403(b) Retirement Plan with employer contributions after one year
- Employee Assistance Program for personal and family support
- Generous Paid Time Off and Holidays
- Professional development opportunities
Our Commitment to Inclusion
Achieva is an Equal Opportunity Employer (EOE) and is committed to creating a workplace and community where all individuals feel respected, included, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, national origin, veteran status, or genetic information.
We are dedicated to providing equal access, opportunity, and reasonable accommodations for people with disabilities in employment, programs, and activities. To request a reasonable accommodation, contact the Human Resources Department at 412-995-5000 ext. 650 or [email protected].
Skills Required
- Electronic claim experience
- Experience with billing software such as PROMISE
- Strong attention to detail and commitment to accuracy
- Solid work ethic and ability to meet deadlines
- Flexibility to adapt to changing priorities and requirements
- Must satisfy Pennsylvania Act 33 and Act 34 requirements
- Valid Pennsylvania driver's license
- Properly insured vehicle available for daily use
- Associate's degree in Accounting, Finance, or a related field
What We Do
VISION: Achieva envisions a community where all people with disabilities lead lives of personal significance. MISSION: Achieva advocates for, empowers, and supports people with disabilities and their families throughout their lives. CORE VALUES: Respect: Value and celebrate everyone. Passion: Be dedicated to Achieva’s mission and vision. Ethics: Infuse integrity, quality and best practices in everything we do. Change: Embrace and drive innovation toward inclusive person-centered practices. Team: Inspire, challenge and support each other. STRATEGIC PRIORITIES: Person Centered: Create and nurture a culture throughout ACHIEVA that promotes person-centered thinking and planning and in how we provide support. Advocacy: Ensure that advocacy remains a foundational part of the organization, is supported by sustainable funding and staffing, and focuses on individual advocacy and important system advocacy issues. Impact: Identify, develop and pursue new and innovative initiatives that stretch Achieva’s abilities to fulfill its vision and mission. Staff: Implement enhanced strategies to attract, develop and retain the highest quality staff. Diversity: Develop and pursue a diverse and inclusive culture throughout the organization. Technology: Leverage technology to enhance all aspects of the organization and services/supports. Advancement: Develop and pursue an advancement agenda that enhances Achieva’s financial position, community presence and leadership.
