Job Description
Overview:
ORGANIZATION: Citizen Care Inc.
DEPARTMENT: Administration
POSITION: Billing & Referral Associate
STATUS: Full-Time; 40 hours / week
SCHEDULE: Flexible to meet the needs of the program (primarily daylight)
LOCATION: Robinson Township
Citizen Care Inc., a subsidiary of Partners For Quality Inc., provides residential, day program, habilitation, supported employment opportunities and behavioral support services to adults with intellectual and developmental disabilities. We are a non-profit organization, accredited by the Council on Quality & Leadership. Citizen Care has locations throughout the West Hills and South Hills of Allegheny County.
Responsibilities:Billing and Administrative Support
- Support accurate, timely, and compliant billing processes across agency programs.
- Monitor billing activity, claims, authorizations, and related information and communicate concerns as needed.
- Assist with resolving billing discrepancies, claim issues, and authorization concerns.
- Support PROMISe administration and related provider enrollment activities.
CareLogic and Systems Support
- Serve as a resource to staff regarding CareLogic billing, authorization, and related processes.
- Assist with troubleshooting and resolving system-related billing and documentation concerns.
- Support staff training and consistent use of applicable CareLogic processes.
Referral and Vacancy Coordination
- Support the agency’s referral and admission process from initial inquiry through placement.
- Maintain accurate information regarding referrals, vacancies, and intake activity.
- Coordinate and communicate referral information with appropriate program staff and leadership.
- Maintain and distribute applicable vacancy and referral information.
Organizational Participation
- Participate actively in at least one Citizen Care committee.
- Attend required meetings, trainings, and professional development activities.
- Support agency initiatives and perform other administrative duties as assigned.
QUALIFICATIONS
- High school diploma required; associate or bachelor’s degree preferred in business administration, healthcare administration, or related field.
- Experience with Medicaid billing, PROMISe, or human services billing preferred.
- Experience using electronic health record systems; CareLogic experience strongly preferred.
- Knowledge of ODP regulations, service authorizations, and waiver billing practices preferred.
- Strong organizational skills and attention to detail.
- Ability to manage multiple deadlines and prioritize tasks effectively.
- Strong communication and problem-solving skills.
- Proficiency in Microsoft Office and database management systems.
- Valid PA, OH, or WV driver’s license
- Act 34. and FBI clearances, as applicable
Numbers & Facts
| Location | Robinson Township, Pennsylvania |
| Job Type | Full-time |
| Industry | Healthcare Services |
| Company Size | 1,000 to 1,499 employees |
| Year Founded | 1975 |
| Website | http://www.pfq.org/ |
Benefits
Paid Sick Days, Parking, Prescription Drug Coverage, Professional Development, 401K, Employee Referral Program, Flexible Spending Accounts, Employee Events, Life Insurance, Military Leave
About Company
Partners For Quality Inc. (PFQ) is a private, non-profit organization based in Robinson Township. Partners For Quality provides administrative management to five subsidiary organizations that support local individuals with intellectual & developmental disabilities and behavioral health challenges. PFQ’s management services include Fiscal (including payroll), HR, IT and Communications – thus allowing subsidiaries to focus on their day-to-day priorities. Our subsidiaries include Allegheny Children’s Initiative, Citizen Care, Exceptional Adventures, Milestone Centers and the Partners For Quality Foundation. Through these subsidiaries, we provide community-based supports and services to 5,000 adults and children with intellectual disabilities and behavioral health challenges in Allegheny County.
Allegheny Children’s Initiative provides mental and behavioral health community-based services to children, adolescents and families throughout Allegheny County. Based in Pittsburgh’s South Side, we provide Intensive Behavioral Health Services, Service Coordination, Student Assistance, Parent-Child Interaction Therapy, and Family Based Mental Health programs. ACI has earned certification from the Council On Accreditation.
Citizen Care Inc. provides residential, day program, habilitation, supported employment opportunities and behavioral support services to adults with intellectual and developmental disabilities. We are a non-profit organization, accredited by the Council on Quality & Leadership. Citizen Care has locations throughout the West Hills and South Hills of Allegheny County.
Exceptional Adventures has more than 40 years of experience providing vacation opportunities, social events and monthly dances for individuals with intellectual and developmental disabilities. Our recreational and travel programs are designed to support guests in a wide variety of activities. Organized trips include motor coach, flight, train and cruise packages which are offered year-round.
Milestone Centers supports individuals with behavioral health challenges and intellectual & developmental disabilities in communities throughout Western Pennsylvania. Our Agency oversees 20 residential settings, two outpatient offices, three adult training facilities, a prevocational enterprise program, a consumer drop-in center, habilitation services, and two Health Care Quality Units in Butler and Warren, which train professionals in 18 counties. Milestone Centers has earned certification from the Sanctuary Institute for providing trauma-informed care.
The Partners For Quality Foundation conducts fundraising for all organizational services and supports. Partners For Quality Inc. receives operating funds through various sources, private gifts, grants and special events helping the agency go “above and beyond” basic needs. The Foundation’s goal is to build and strengthen PFQ’s support resources to supplement government dollars.
The Partners For Quality family of agencies is an equal opportunity employer. EOE.
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