Billing Associate, Senior, Department of Medicine

• Manage the billing and reimbursement process for Ryan White HIV/AIDS Program services by preparing, reviewing, and submitting accurate and timely claims.
• Monitor claim status, resolve billing issues, review provider invoices, and coordinate corrective actions to ensure compliance with grant requirements.
• Assist the Associate Director to develop and then maintain cost-control systems to track patient expenditures, funding limits, and prior authorizations while ensuring Ryan White funds are used as the payer of last resort.
• Maintain accurate and organized billing, reimbursement, and financial records to support program operations and accountability.
• Ensure compliance with all applicable federal, state, local, and Ryan White HIV/AIDS Program regulations, policies, and grant requirements.
• Prepare and submit required financial reports and supporting documentation to funding agencies and internal stakeholders, while maintaining complete records for audits, monitoring activities, and grant compliance reviews.
• Monitor billing activity, reimbursement trends, and Ryan White-funded service utilization to ensure fiscal accountability and program compliance.
• Generate and maintain reports on claims, payments, denials, outstanding balances, and grant expenditures while tracking patient-level spending against funding limits.
• Identify billing discrepancies and compliance concerns, and provide leadership with recommendations to improve accuracy, accountability, and financial performance.
• Collaborate with program staff, healthcare providers, financial personnel, insurers, and external partners to support accurate documentation and efficient billing processes.
• Provide guidance and respond promptly to billing and reimbursement inquiries and deliver exceptional customer service while maintaining program integrity, compliance, and accountability.
• Conduct quality assurance reviews and routine audits of billing records, claims, and supporting documentation to ensure accuracy, completeness, and compliance with organizational and grant requirements.
• Collaborate with the Associate Director to identify process improvements that enhance billing efficiency and effectiveness.
• Maintain organized record keeping systems and tracking tools that support data integrity, financial accountability, and timely access to records for audits, monitoring, reporting, and program reviews.

Knowledge, Skills & Abilities:

• Strong knowledge of healthcare billing codes, regulations, and procedures.
• Knowledge of medical billing processes and ability to perform billing tasks.
• Proficiency in Microsoft Excel.
• Excellent analytical and problem-solving skills.
• Excellent organizational, communication, and interpersonal skills.
• Ability to maintain a high level of accuracy and attention to detail.
• Ability to work independently while collaborating effectively as part of a team.