Overview
Office Administrative Assistant Jobs in Berea, KY at Cutting Edge Tool Works, LLC.
The Billing Specialist will manage the day-to-day administrative operations and play a vital role in billing for KBYH programs and services. The Billing Specialist will also provide CalAIM-specialized billing services along with other billing duties.
The Administrative Assistant provides comprehensive support to the office by performing a variety of administrative tasks. This role is crucial for ensuring smooth operations and contributing to the efficiency of the organization.
● Supports and promotes the mission of the Agency.
● Prepare and submit invoices to required entities.
● Prepare and submit claims to required entities.
● Collaborate with other departments to obtain and analyze additional information; to record and process billing effectively.
● Ensures that maximum reimbursement is obtained through billing and coding, or all services rendered. Responsible for correcting, completing, and processing claims of all respective payer codes.
● Daily monitoring of assigned queues for claim progression directly impacting timely payments, manages the claims process, including accurate and timely claim creation, follows-up and correspondence with required entities.
● Prepares and submits clean claims to third party payers either electronically or by paper per the payor guidelines.
● Maintains strictest confidentiality; adheres to all required guidelines/regulations.
● Contributes to every stage of revenue cycle, from claim submission to denial management, to payment posting review and reporting.
● Keeps and maintains a safe and clean work environment.
● Provides and/or coordinates all staff safety training and implements safety practices to reduce and prevent injuries.
● Prepare, review, and transmit claims using billing software, including electronic and paper claim processing with timely claim submission.
● Manages reports and complies with all permitting, licensing, security and certification.
● Prepares and keeps an organized filing system for all program documents related to billing. Submit monthly reports of billing activities and developments to the CEO and Director.
● Maintains positive, cooperative, life-giving team dynamics and environment.
● Attends training and regular meetings.
● Answer and direct phone calls and emails.
● Organize and maintain filing systems, both electronic and physical.
● Coordinate and schedule meetings, conferences, and travel arrangements.
● Prepare, edit, and distribute correspondence, reports, and presentations.
● Ensure accurate and timely documentation and record-keeping.
● Assist in the preparation of meeting agendas and take notes.
● Serve as a point of contact for clients, customers, and vendors.
● Handle inquiries and complaints in a professional manner.
● Provide information and assistance as needed to ensure customer satisfaction.
● Enter and update data in databases and spreadsheets.
● Compile and analyze information for reports.
● Ensure data accuracy and confidentiality.
● Support various projects and initiatives by providing administrative assistance.
● Assist in research and data collection for projects.
● Coordinate with other departments as needed to ensure project success.
● Maintains a positive, life-giving environment for the members.
● Attends training and regular meetings.
● Attends weekly team meetings.
● Other duties and responsibilities as required by the Executive Director(s), Program Director(s), or Supervisor.
● Ensures performance and behaviors support the Agency’s performance quality improvement (PQI) goals and objectives.
● Responsible for leading, overseeing, and implementing their area of responsibility or department’s PQI program. To promote a culture of excellence and continual improvement, support departments/programs in the process of achieving quality improvement, monitor implementation of PQI systems, processes, and practices, and collect data that continually meets Council on Accreditation (COA) standards. Also, responsible for working with the HR Department to implement and monitor the agency’s privacy management program in accordance with State and Federal Laws and regulations. Works closely with the CEO as well as other leadership staff to ensure effective systems and practices are implemented consistently across all programs and corporate support areas of the agency in relations to the KBYH PQI program.
● Performs other duties as assigned.
● Knows and abides by KBYH Policies
To perform the job successfully, an individual should demonstrate the following competencies:
Client Population – Must be able to understand and have sensitivity to the service population’s cultural and socioeconomic characteristics.
Adaptability – Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
MINIMUM QUALIFICATIONS
● High school diploma or equivalent.
● 1 year Medical Billing experience
● Understanding of medical billing codes, insurance reimbursement processes, and relevant state and federal regulations.
● Knowledge of financial software and billing systems, particularly those used in healthcare.
● Strong attention to detail and accuracy in data entry and financial reporting.
● Excellent organizational skills and the ability to manage multiple tasks efficiently.
● Proficiency in Microsoft Office Suite, particularly Excel, and billing software applications.
● Capacity to recognize and identify billing discrepancies to resolve issues efficiently.
● Strong written and verbal communication skills (English).
● Thorough understanding of billing requirements and updates to ensure compliance.
● Ability to coordinate with internal operations, such as program managers and service providers to ensure accurate billing for services rendered.
● Willingness to establish strong lines of communication with insurance companies and other billing entities to facilitate prompt payment.
● Capacity to administer regular, internal audits of billing records to identify discrepancies and areas for improvement.
● Experience in administrative support role or general office environment (preferable if experienced in healthcare or social services specifically).
● Knowledge, understanding, and proficiency in office procedures, administrative tasks, basic financial processes, record-keeping, and standard office software (e.g., Microsoft Office Suite).
● Proficiency in data entry and document management.
● Excellent written and verbal communication skills on English to interact effectively with staff, clients, and stakeholders.
● Competence and discretion to prioritize tasks and make independent decisions to support office operations.
● Strong interpersonal skills to work collaboratively with various departments and team members.
● Willingness to foster a team-oriented environment.
● Capacity to maintain a welcoming and professional office environment that supports positive interactions with clients and stakeholders.
PREFERRED QUALIFICATIONS
● Higher education or background in Accounting, Finance, or a related field of expertise.
● 4 years’ experience or operational background in fields such as billing, accounts receivable, or financial administration, preferably in a healthcare or social services setting.
● Familiarity with healthcare, Medi-Cal or CalAIM billing practices and regulations is highly desirable.
Language Ability:
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Math Ability:
Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Reasoning Ability:
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills:
To perform this job successfully, an individual should know about Contact Management systems, Database software; Internet software, Project Management software; Spreadsheet software and Microsoft Office Processing software.
Certificates and Licenses:
Valid California Driver’s License
Automobile Insurance
CPR/First Aid (child/Adult)
Other Requirements:
Pass background and screening as required by CCL Title 22, i.e, DOJ & FBI fingerprint clearance.
Supervisory Responsibilities:
This job has no supervisory responsibilities.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duty of this job, the employee may be exposed to work in high, precarious places, toxic or caustic chemicals and outdoor weather conditions. The noise level in the work environment is usually moderate.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to walk; use hands to finger, handle, or feel and reach with hands and arms. The employee is frequently required to stand; climb or balance; stoop, kneel, crouch, or crawl and talk or hear. The employee is occasionally required to sit and taste or smell. The employee must regularly lift and /or move up to 50 pounds. Specific vision abilities required by this job include Close vision, Distance vision, Peripheral vision, Depth perception and Ability to adjust focus.
Job Type: Full-time
Pay: $23.00 per hour
Expected hours: 40 per week
Benefits:
401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid sick time
Paid time off
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Supplemental Pay:
Bonus opportunities
Work Location: In person
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Title: Office Administrative Assistant
Company: Cutting Edge Tool Works, LLC.
Location: Berea, KY
