Fiscal Management Services Billing Specialist

Position Summary: The FMS Billing Specialist coordinates billing functions within the Financial Management Services (FMS) department. This role supports the organization's financial operations by ensuring accurate and timely record maintenance, vendor setup, waiver and authorization updates, budget changes, and compliance.

Essential Functions (Primary Duties):

• Monitor the statewide authorization system daily for new, modified, or closed authorizations, updating the database as needed.
• Maintain authorization records in the computer system in a timely and accurate manner.
• Review authorizations to ensure services provided align with reimbursable expenses.
• Accurately manage and maintain consumer budget files while ensuring confidentiality.
• Ensure compliance with all billing regulations and maintain the required documentation to support claims.
• Ensure internal billing processes meet the state and federal compliance standards and recommend improvements as needed.
• Enter new vendors into the Financial Management Services (FMS) programs and update records accordingly.
• Coordinate billing processing, including the preparation and submission of billing files for state reimbursement.
• Review billing claims for accuracy and compliance, addressing any claims denied efficiently.
• Contribute to the organization's fiscal health by maximizing accurate reimbursement and reducing denied claims.
• Investigate and resolve billing discrepancies to ensure accurate reimbursement.
• Maintain tracking of claim denials and corrections, analyzing trends to improve billing processes.
• Review and address open claims on the Accounts Receivable File from the finance team on a monthly basis.
• Respond to inquiries from Support Coordinators regarding billing and authorization matters.
• Prepare monthly reports on billing trends and claim status to support continuous improvements.
• Monitor and investigate the Electronic Visit Verification compliance rates to ensure consistency with standards.
• Perform other duties as assigned to support FMS programs and billing operations.

Role Qualifications:

• Excellent computer skills with knowledge of Word, Excel, and web-based systems.
• Function as part of a team, working cooperatively with colleagues and supervisors.
• Excellent interpersonal skills.
• Ability to remain highly organized with acute attention to detail.
• Flexibility to adapt to a rapidly changing work environment.
• Effective time-management skills.
• Ability to effectively identify issues and develop, recommend, and implement a solution.
• Handle sensitive information in a confidential manner.

Education/Relevant Work Experience:

• Education: A degree in Business, Finance, or Accounting preferred.
• Minimum of 2 years' experience with billing processing/reconciliation required.