Accounting Technician II - Jail Biller (Grant Funded)

Accounting Technician IISupervised by the Controller/Accounting Division Manager, the Accounting Technician II performs a variety of financial and specialized medical billing functions in support of Public Health and correctional health services. Primary responsibilities include administration of medical and Medicaid billing for services provided at the Skagit County Community Justice Center, including claims processing, reconciliation, and compliance with applicable federal, state, and county requirements.Upon serving at least three years as an Accounting Tech II with the Public Health Department, an employee is eligible to be promoted to an Accounting Tech III. With the approval of the Public Health Director and the Human Resources Director, two years' experience in an essentially comparable accounting position, either within Skagit County or another government entity, may substitute for two of the years. Should this be applied, the employee must serve at least one (1) year within the Public Health Department.Salary upon hire is step 1 through 3 ($30.11/hr.

- $32.23/hr.) dependent upon qualifications. Progressive increases are based on years of service with Skagit County, up to 8 total steps (top step $38.30/hr.). The Accounting Technician II - Jail Biller is Range 13 of the PROTEC Health salary schedule.Key job tasks will include:Develop and implement a medical billing process for services provided at the Skagit County Community Justice Center.Review medical records and determine what can be billed to Medicaid, and submit claims for payment.Correct, complete and process claims for all payer codes.Verify benefits and follow-up on unpaid claims.Coordinate and clarify with providers, when necessary.Acts as central point of contact in seeking any required approval for patient direct services such as MOUD.Reconcile collections of reimbursements and audit bills and records related information.Communicate with medical professionals and billing and to identify and resolve audit review issues.Prepare and maintain reports, worksheets, and summaries to keep management informed of the status of the 1115 waiver program.Provide support to Controller/Accounting Division Manager during audits of the Department's financial records by the Washington State Auditor's Office, Healthcare Authority or any other oversight bodies.This position may perform special projects or assignments requiring research and analysis of appropriate data to submit reports and/or recommendations to the Controller/Accounting Division Manager. Works closely with team to meet strict deadlines.

May train others. Represents Skagit County with a positive demeanor and professional work ethic.Minimum QualificationsAny combination of training and experience that would provide the required knowledge, skills and abilities is qualifying. A typical path to obtaining the required qualifications would be:Associate degree in business, accounting, or closely related field.Two years' experience in related accounting.Experience in medical billing and coding.Requires knowledge of:Principles and practices of governmental accounting, including accounts payable, receivable, and reconciliationMedical billing practices, including Medicaid (Apple Health), third-party insurance, and/or managed care systemsICD-10, CPT coding standards and medical terminologyWashington State Medicaid billing rulesElectronic Health Record (EHR) systems and medical billing softwareApplicable federal, state, and local laws, regulations, and compliance requirements related to healthcare billing (ex HIPAA)Office procedures, recordkeeping systems, and standard business software (e.g., Excel, financial systems)Requires the ability to:Interpret and apply complex billing rules, regulations, and payer requirementsAnalyze medical records and determine billable services with a high degree of accuracyReconcile discrepancies between medical records, claims, and paymentsCommunicate effectively with medical providers, insurance representatives, and internal staffMaintain strict confidentiality of protected health and financial informationOrganize and prioritize work to meet deadlines in a fast-paced, detail-oriented environmentExercise independent judgment and problem-solving in resolving billing issues and denied claimsDevelop and implement new processes and workflows with minimal supervisionPrepare clear, concise reports and maintain accurate financial recordsWork collaboratively across departments, including correctional staff and healthcare providersMust pass a Skagit County Sheriff's office background check.The primary work location for this position is expected to be on site at the Community Justice Center in Mount Vernon, WA. Work is performed in a typical professional office environment.

Work may require sitting for long period, with occasional lifting of office equipment or files up to 40 pounds. Hand-eye coordination is needed to operate office equipment. Hazards: Those present in a normal office environment.