Administrative Specialist and Billing Specialist

Administrative Specialist and Billing Specialist

Salary

$20.50 - $21.50 Hourly

Location

Ada County Treatment Services Center, 3320 W. Elder St., Boise, ID

Job Type

Full-Time with Benefits

Job Number

03042

Department

Trial Court Administration - District & Specialty Courts

Division

Mental Health Court/Drug Court

Opening Date

07/28/2026

Closing Date

Continuous

• Description
• Benefits

General Summary

IMPORTANT INFORMATION:

This is a temporary position funded through a grant. Continuation of employment is dependent on ongoing grant funding and program needs. The anticipated duration of this role is through April 2028, though this timeline may be adjusted based on funding status.

This is a continuous job posting and will remain open until a sufficient number of qualified applications are received. The posting may close at any time without notice. Applicants are encouraged to apply as soon as possible to ensure consideration.

Ada County is a great place to work! We have more than 2000 employees dedicated to enhancing our community's quality of life. Our Trial Court Administration team is growing, and this is an excellent opportunity to be a part of taking this team to the next level.

We offer a competitive Total Rewards package that increases your base salary by approximately 40%, including:

• Excellent medical, dental, and vision insurance
• Generous vacation and sick leave starting on day one
• 11 paid holidays annually
• Participation in one of the nation's best state retirement systems, with11.96% employer contribution
• 457(b) deferred compensation plan with up to 3% county match, plus a401(k)
• Paid parental leave, life insurance, and robust wellness programs
• Ongoing training opportunities and career pathing

The Trial Court Administrator, Sandra Barrios, oversees all administrative responsibilities of the Fourth Judicial District. This includes responsibility for facilities management; serving as a liaison between agencies, the media, and the public; and developing and carrying out policies that enhance court system performance.

Our Mission is to support court systems that put people first and ensure access to the court.

Learn more about Ada County Trial Court Administration by visiting their website. Ada County Trial Court Administration

REQUIRED: An updated resume and cover letter must be submitted/attached with your application.

POSITION GENERAL SUMMARY:

Provides comprehensive administrative, clerical, and medical billing support to the Treatment Court programs and Nurse Practitioner. Performs a combination of front-office coordination, medical records management, and specialized medical coding and billing functions. Ensures accuracy, compliance, and confidentiality in all patient, billing, and program-related records in accordance with applicable regulations. Performs other related work as assigned.

DISTINGUISHING FEATURES OF THE CLASS:

This position requires independent judgment in applying established administrative and billing procedures, with a strong emphasis on accuracy, organization, and regulatory compliance. The incumbent is expected to proactively identify workflow improvements and support efficient office operations.

Work is performed under the general supervision of the ACTS Center Supervisor. The employee exercises initiative in completing recurring assignments and resolving routine issues. Complex or sensitive matters are referred to the supervisor. Work is reviewed for accuracy, completeness, and adherence to policies and procedures.

Essential Functions

Medical Coding and Billing:

• Reviews medical documentation to assign accurate diagnostic and procedural codes (e.g., ICD, CPT, HCPCS) for billing and recordkeeping purposes;
• Ensures coding accuracy and compliance with federal, state, and payer-specific regulations;
• Processes and submits claims to various payers including Medicaid, Medicare, private insurance, and other contracted entities;
• Verifies patient eligibility, coverage, and authorization requirements prior to billing;
• Monitors claim status, identifies discrepancies, and resolves billing issues in a timely manner;
• Investigates and processes claim denials, including preparation and submission of appeals;
• Posts payments, adjustments, and account activity into billing systems;
• Reconciles accounts and ensures accuracy of charges and payments;
• Maintains and manages billing records, reports, and audit documentation;
• Coordinates with providers, insurance companies, and external agencies to resolve billing inquiries.

Administrative and Office Support:

• Provides direct administrative support to the Nurse Practitioner, including scheduling appointments, managing calendars, and coordinating patient visits;
• Greets and assists clients, program participants, and visitors in a professional and courteous manner;
• Answers, screens, and directs incoming phone calls; provides information and resolves routine inquiries;
• Maintains and organizes medical and administrative records in compliance with retention policies;
• Prepares, types, and distributes correspondence, reports, forms, and other documents;
• Performs data entry and maintains databases, logs, and tracking systems;
• Opens, sorts, and distributes incoming mail; prepares outgoing correspondence;
• Orders and maintains office and medical supplies;
• Assists with preparation of reports, including statistical and financial data;
• Supports coordination of communication between medical staff, court personnel, and external partners.

Records and Compliance:

• Maintains strict confidentiality of all patient and program information in compliance with HIPAA and other applicable regulations;
• Ensures proper documentation and recordkeeping for medical, billing, and legal purposes;
• Assists with audits and compliance reviews by maintaining accurate and accessible records;
• Maintains working knowledge of medical terminology, coding standards, and billing practices.

ADDITIONAL FUNCTIONS

• Occasionally will observe program participants' urine drug tests;
• Performs related duties as assigned.

Job Requirements

• High school diploma or equivalent required;
• Associate's degree or certification in Medical Coding, Medical Billing, Health Information Management, or related field preferred;
• Minimum of 2 years of experience in medical billing, coding, or healthcare administrative support preferred;
• Knowledge of medical terminology, coding systems (ICD, CPT, HCPCS), and billing practices;
• Knowledge of insurance processes, claims submission, and reimbursement procedures;
• Knowledge of office administration practices and procedures;
• Knowledge of Microsoft Office Suite and electronic medical record (EMR) systems;
• Knowledge of business English, spelling, grammar, and basic mathematics;
• Skill in coding and data entry with strong attention to detail and accuracy;
• Skill in effective time management and organizational skills;
• Skill in organizing records;
• Skill in operation of various office machines, such as fax machine, calculators, copiers, computer printers, scanners, etc.;
• Skill in communicating with a culturally diverse and manipulative populations professionally;
• Ability to interpret medical documentation and apply appropriate codes;
• Ability to maintain confidentiality and handle sensitive information;
• Ability to analyze and resolve billing discrepancies and issues;
• Ability to communicate effectively with diverse populations, including patients, providers, and external agencies;
• Ability to work independently and manage multiple priorities;
• Ability to establish and maintain effective working relationships.

OTHER REQUIREMENTS

• The Incumbent is subject to a criminal records check.

Work Environment & Physical Demands

• Work is performed primarily in an office environment and the employee in this class is subject to inside environmental conditions;
• May be required to lift up to 20 lbs.;
• Requires sufficient personal mobility and physical reflexes, which permits the employee to function in a general office environment to accomplish task.

DISCLAIMER:

To perform this job successfully, an individual must be able to perform the primary job responsibilities satisfactorily with or without reasonable accommodation. The above statements are intended to describe the general nature and level of work being assigned to this job. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of individuals in the job. This job description is not an employment agreement and/or an expressed or implied employment contract. Management has the exclusive right to alter this job description at any time without notice. Ada County provides Veterans Preference for all County jobs except for those deemed "key positions" in accordance with Title 65, Chapter 5 of Idaho Code.

Visit Employee Benefits to view details regarding our benefits package, including: paid leave, healthcare benefits, retirement benefits, and more!

Use our Compensation Estimator Tool to get a personalized look at what your total compensation could be including estimated salary, retirement contributions, health benefits and paid time off. This tool is designed to help prospective employees better understand the full value of working at Ada County.

Ada County recognizes that employees are our most valuable asset. We are proud to offer a comprehensive benefits package to benefit-eligible employees designed to support the health, wellness and long-term financial stability of our employees and their families.

Healthcare:

• Low-cost medical, dental, vision premiums and deductibles
• Post-employment health savings account

Retirement and Investments Plans:

• PERSI retirement benefits
• 457(b) post or pre-tax investments options with up to 3% employer match
• 401(k)

Wellbeing Program:

• Employee Assistance Program for short-term counseling on work, family, finances, and personal concerns.
• Free ACHD Commuter ride vanpool program
• Free bus pass

Paid-leave:

• 11 paid holidays per year
• 8 weeks paid Parental Leave
• Approximately 96 hours of vacation accrual for full-time employee
• Approximately 96 hours of sick accrual for full-time employee
• 5 days paid bereavement leave

Life & Short-Term Disability Insurance

• Basic Life Insurance employer paid if benefit eligible
• Short Term Disability employer paid if benefit eligible

Optional Benefits:

• Pre-tax Flexible Spending Account and Dependent Care Account
• NCPERS Decreasing Term Life Insurance
• Supplemental Employee, Spouse, Child Life Insurance
• Supplemental Long-Term Disability Insurance
• AFLAC

Employer Ada County

Department Trial Court Administration - District & Specialty Courts Address 200 W. Front St.

Boise, Idaho, 83702

Website www.adacounty.id.gov