COMPLIANCE TECH II

Job Title

This position assists the supervisor in creating consumer chart and billing files, completing registration forms, ROI's, billing duties, and other correspondence. May help create reports.

Job Duties

• Maintain, verify, enter, and update consumer registrationdata, alternate resources, and Releases of Information (ROI) to ensure all files are legally authenticated before entry into the Electronic Health Record (EHR).
• Perform all data tasks for demographics, charges, payments, and adjustment transactions in a timely manner. Process self-pay payments and provide backup for entering Remittance Advices (RAs) into the EHR.
• Compiles and computes data according to statistical formulas for use in statistical reporting. May perform computations and compile charts and graphs for use by supervisor and Internal Evaluator.
• Screen and apply admitting consumers for SNAP and Medicaid benefits, regardless of income status or existing payers, to ensure maximum resource utilization.
• Assists in training new Compliance Technicians, providing mentorship as required.
• Obtain and forward supporting documentation for third-party payers. Monitor aging accounts and re-bill third-party payers after 60 days of non-response.
• Reconcile system totals against daily batch audits. Investigate discrepancies and correct errors using appropriate mechanisms prior to posting to consumer accounts.
• Perform overall control procedures for daily balancing, monthly closing, and year-end closures for all receivables using standard control forms.
• Maintain detailed records of SNAP benefits and transactions for consumers qualifying through the Division of Public Assistance (DPA).
• Process self-pay payments provided by consumers with previous service charges.
• Promotes courteous communication to obtain necessary admission information from consumers and families while promoting a positive public image.
• Assist the Compliance Supervisor with the completion and follow-through of Qualified Addiction Professional (QAPs) to meet CARF and agency standards.
• Collect, review, and enter data daily; maintain precise records of billing notes, billing correspondence, and payments to ensure "audit-proof" records.
• Function as a primary safeguard for consumer confidentiality, ensuring all data collection and storage processes strictly adhere to HIPAA and 42 CFR Part 2 regulations.
• Serve as a backup for other clerical and data staff; maintain flexibility to fill in for team members with little to no notice.
• Perform other job-related duties as assigned.

Necessary Knowledge, Skills, and Ability

• Excellent knowledge and daily application of HIPAA and 42 CFR Part 2 regulations to maintain a secure and compliant environment.
• Ability to ensure all consumer data, Releases of Information (ROI), and records are legally authenticated and stored according to federal and state guidelines.
• Knowledge of billing procedures and the ability to interpret complex assignments to ensure financial and clinical data meets internal and external audit standards.
• Above-average proficiency in Windows, Microsoft Word, and Excel, with a specific ability to accurately input and manage information within consumer portals and Electronic Health Records (EHR).
• Skill in tracking data, running reports, and maintaining organized, legible records for use in monthly, quarterly, and annual agency reporting.
• Ability to follow complex written and verbal instructions to compile data for use by supervisors and internal evaluators.
• Demonstrated experience and success working effectively with Alaska Native and Native American populations, with a deep sensitivity to diverse cultures and lifestyles.
• Knowledge of specialized techniques to assist and support potentially escalated individuals during the sensitive data collection or intake process.
• Exceptional interpersonal skills used to establish and maintain cooperative, professional relationships with colleagues, supervisors, and external agencies.
• Proven ability to report to work in a timely manner and maintain strict adherence to assignment, training, and communication deadlines.
• Skilled in managing multiple, often conflicting, priorities concurrently while meeting all designated project deadlines.
• Demonstrated ability to work effectively as an independent contributor while remaining a productive and reliable member of a multidisciplinary team.

Minimum Qualifications (Education & Experience)

• High school diploma or equivalent, and
• Minimum of three (3) years of experience involving data entry, billing, and/or performing diverse administrative duties.
• Two (2) years of experience working in a service-oriented environment.
• A combination of experience, education, and training that provides the required knowledge, skills, and abilities may substitute for degree requirements.

Preferred Qualifications (Education & Experience)

• Associate's degree in business administration or related field.
• Four (4) years of experience involving data management.