Billing Associate, Senior, Department of Medicine

Manage the billing and reimbursement process for Ryan White HIV/AIDS Program services by preparing, reviewing, and submitting accurate and timely claims. Monitor claim status, resolve billing issues, review provider invoices, and coordinate corrective actions to ensure compliance with grant requirements. Assist the Associate Director to develop and then maintain cost-control systems to track patient expenditures, funding limits, and prior authorizations while ensuring Ryan White funds are used as the payer of last resort. Maintain accurate and organized billing, reimbursement, and financial records to support program operations and accountability. Ensure compliance with all applicable federal, state, local, and Ryan White HIV/AIDS Program regulations, policies, and grant requirements. Prepare and submit required financial reports and supporting documentation to funding agencies and internal stakeholders, while maintaining complete records for audits, monitoring activities, and grant compliance reviews. Monitor billing activity, reimbursement trends, and Ryan White-funded service utilization to ensure fiscal accountability and program compliance. Generate and maintain reports on claims, payments, denials, outstanding balances, and grant expenditures while tracking patient-level spending against funding limits. Identify billing discrepancies and compliance concerns, and provide leadership with recommendations to improve accuracy, accountability, and financial performance. Collaborate with program staff, healthcare providers, financial personnel, insurers, and external partners to support accurate documentation and efficient billing processes. Provide guidance and respond promptly to billing and reimbursement inquiries and deliver exceptional customer service while maintaining program integrity, compliance, and accountability. Conduct quality assurance reviews and routine audits of billing records, claims, and supporting documentation to ensure accuracy, completeness, and compliance with organizational and grant requirements. Collaborate with the Associate Director to identify process improvements that enhance billing efficiency and effectiveness. Maintain organized record keeping systems and tracking tools that support data integrity, financial accountability, and timely access to records for audits, monitoring, reporting, and program reviews. Knowledge, Skills Abilities: Strong knowledge of healthcare billing codes, regulations, and procedures. Knowledge of medical billing processes and ability to perform billing tasks. Proficiency in Microsoft Excel. Excellent analytical and problem-solving skills. Excellent organizational, communication, and interpersonal skills. Ability to maintain a high level of accuracy and attention to detail. Ability to work independently while collaborating effectively as part of a team.