Administrative Specialist and Billing Specialist
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Administrative Specialist and Billing Specialist
Salary
$20.50 - $21.50 Hourly
Location
Ada County Treatment Services Center, 3320 W. Elder St., Boise, ID
Job Type
Full-Time with Benefits
Job Number
03042
Department
Trial Court Administration - District & Specialty Courts
Division
Mental Health Court/Drug Court
Opening Date
07/28/2026
Closing Date
Continuous
Description
Benefits
General Summary
IMPORTANT INFORMATION:
This is a temporary position funded through a grant. Continuation of employment is dependent on ongoing grant funding and program needs. The anticipated duration of this role is through April 2028, though this timeline may be adjusted based on funding status.
This is a continuous job posting and will remain open until a sufficient number of qualified applications are received. The posting may close at any time without notice. Applicants are encouraged to apply as soon as possible to ensure consideration.
Ada County is a great place to work! We have more than 2000 employees dedicated to enhancing our community's quality of life. Our Trial Court Administration team is growing, and this is an excellent opportunity to be a part of taking this team to the next level.
We offer a competitive Total Rewards package that increases your base salary by approximately 40% , including:
Excellent medical, dental, and vision insurance
Generous vacation and sick leave starting on day one
11 paid holidays annually
Participation in one of the nation's best state retirement systems, with11.96% employer contribution
457(b) deferred compensation plan with up to 3% county match, plus a401(k)
Paid parental leave, life insurance, and robust wellness programs
Ongoing training opportunities and career pathing
The Trial Court Administrator, Sandra Barrios, oversees all administrative responsibilities of the Fourth Judicial District. This includes responsibility for facilities management; serving as a liaison between agencies, the media, and the public; and developing and carrying out policies that enhance court system performance.
Our Mission is to support court systems that put people first and ensure access to the court.
Learn more about Ada County Trial Court Administration by visiting their website. Ada County Trial Court Administration (https://adacounty.id.gov/judicial-court/court-administration/)
REQUIRED: An updated resume and cover letter must be submitted/attached with your application.
POSITION GENERAL SUMMARY:
Provides comprehensive administrative, clerical, and medical billing support to the Treatment Court programs and Nurse Practitioner. Performs a combination of front-office coordination, medical records management, and specialized medical coding and billing functions. Ensures accuracy, compliance, and confidentiality in all patient, billing, and program-related records in accordance with applicable regulations. Performs other related work as assigned.
DISTINGUISHING FEATURES OF THE CLASS:
This position requires independent judgment in applying established administrative and billing procedures, with a strong emphasis on accuracy, organization, and regulatory compliance. The incumbent is expected to proactively identify workflow improvements and support efficient office operations.
Work is performed under the general supervision of the ACTS Center Supervisor. The employee exercises initiative in completing recurring assignments and resolving routine issues. Complex or sensitive matters are referred to the supervisor. Work is reviewed for accuracy, completeness, and adherence to policies and procedures.
Essential Functions
Medical Coding and Billing:
Reviews medical documentation to assign accurate diagnostic and procedural codes (e.g., ICD, CPT, HCPCS) for billing and recordkeeping purposes;
Ensures coding accuracy and compliance with federal, state, and payer-specific regulations;
Processes and submits claims to various payers including Medicaid, Medicare, private insurance, and other contracted entities;
Verifies patient eligibility, coverage, and authorization requirements prior to billing;
Monitors claim status, identifies discrepancies, and resolves billing issues in a timely manner;
Investigates and processes claim denials, including preparation and submission of appeals;
Posts payments, adjustments, and account activity into billing systems;
Reconciles accounts and ensures accuracy of charges and payments;
Maintains and manages billing records, reports, and audit documentation;
Coordinates with providers, insurance companies, and external agencies to resolve billing inquiries.
Administrative and Office Support:
Provides direct administrative support to the Nurse Practitioner, including scheduling appointments, managing calendars, and coordinating patient visits;
Greets and assists clients, program participants, and visitors in a professional and courteous manner;
Answers, screens, and directs incoming phone calls; provides information and resolves routine inquiries;
Maintains and organizes medical and administrative records in compliance with retention policies;
Prepares, @types, and distributes correspondence, reports, forms, and other documents;
Performs data entry and maintains databases, logs, and tracking systems;
Opens, sorts, and distributes incoming mail; prepares outgoing correspondence;
Orders and maintains office and medical supplies;
Assists with preparation of reports, including statistical and financial data;
Supports coordination of communication between medical staff, court personnel, and external partners.
Records and Compliance:
Maintains strict confidentiality of all patient and program information in compliance with HIPAA and other applicable regulations;
Ensures proper documentation and recordkeeping for medical, billing, and legal purposes;
Assists with audits and compliance reviews by maintaining accurate and accessible records;
Maintains working knowledge of medical terminology, coding standards, and billing practices.
ADDITIONAL FUNCTIONS
Occasionally will observe program participants' urine drug tests;
Performs related duties as assigned.
Job Requirements
High school diploma or equivalent required;
Associate's degree or certification in Medical Coding, Medical Billing, Health Information Management, or related field preferred;
Minimum of 2 years of experience in medical billing, coding, or healthcare administrative support preferred;
Knowledge of medical terminology, coding systems (ICD, CPT, HCPCS), and billing practices;
Knowledge of insurance processes, claims submission, and reimbursement procedures;
Knowledge of office administration practices and procedures;
Knowledge of Microsoft Office Suite and electronic medical record (EMR) systems;
Knowledge of business English, spelling, grammar, and basic mathematics;
Skill in coding and data entry with strong attention to detail and accuracy;
Skill in effective time management and organizational skills;
Skill in organizing records;
Skill in operation of various office machines, such as fax machine, calculators, copiers, computer printers, scanners, etc.;
Skill in communicating with a culturally diverse and manipulative populations professionally;
Ability to interpret medical documentation and apply appropriate codes;
Ability to maintain confidentiality and handle sensitive information;
Ability to analyze and resolve billing discrepancies and issues;
Ability to communicate effectively with diverse populations, including patients, providers, and external agencies;
Ability to work independently and manage multiple priorities;
Ability to establish and maintain effective working relationships.
OTHER REQUIREMENTS
The Incumbent is subject to a criminal records check.
Work Environment & Physical Demands
Work is performed primarily in an office environment and the employee in this class is subject to inside environmental conditions;
May be required to lift up to 20 lbs.;
Requires sufficient personal mobility and physical reflexes, which permits the employee to function in a general office environment to accomplish task.
DISCLAIMER:
To perform this job successfully, an individual must be able to perform the primary job responsibilities satisfactorily with or without reasonable accommodation. The above statements are intended to describe the general nature and level of work being assigned to this job. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of individuals in the job. This job description is not an employment agreement and/or an expressed or implied employment contract. Management has the exclusive right to alter this job description at any time without notice. Ada County provides Veteran's Preference for all County jobs except for those deemed "key positions" in accordance with Title 65, Chapter 5 of Idaho Code.
Visit Employee Benefits (https://adacounty.id.gov/Human-Resources/Employee-Benefits) to view details regarding our benefits package, including: paid leave, healthcare benefits, retirement benefits, and more!
Use our Compensation Estimator Tool (https://app.powerbigov.us/view?r=eyJrIjoiZWRhZWNlOWItZjRjMy00NmM2LWI5YTctNDY4NzAzYTM3NDQ4IiwidCI6ImQ4NzFhM2Y3LTI5YTctNDFhYS1iNjczLWFiY2JhM2Q4NjUwYSJ9) to get a personalized look at what your total compensation could be including estimated salary, retirement contributions, health benefits and paid time off. This tool is designed to help prospective employees better understand the full value of working at Ada County.
Ada County recognizes that employees are our most valuable asset. We are proud to offer a comprehensive benefits package to benefit-eligible employees designed to support the health, wellness and long-term financial stability of our employees and their families.
Healthcare:
Low-cost medical, dental, vision premiums and deductibles
Post-employment health savings account
Retirement and Investments Plans:
PERSI retirement benefits
457(b) post or pre-tax investments options with up to 3% employer match
401(k)
Wellbeing Program:
Employee Assistance Program for short-term counseling on work, family, finances, and personal concerns.
Free ACHD Commuter ride vanpool program
Free bus pass
Paid-leave:
11 paid holidays per year
8 weeks paid Parental Leave
Approximately 96 hours of vacation accrual for full-time employee
Approximately 96 hours of sick accrual for full-time employee
5 days paid bereavement leave
Life & Short-Term Disability Insurance
Basic Life Insurance employer paid if benefit eligible
Short Term Disability employer paid if benefit eligible
Optional Benefits:
Pre-tax Flexible Spending Account and Dependent Care Account
NCPERS Decreasing Term Life Insurance
Supplemental Employee, Spouse, Child Life Insurance
Supplemental Long-Term Disability Insurance
AFLAC
Employer
Ada County
Department
Trial Court Administration - District & Specialty Courts
Address
200 W. Front St. Boise, Idaho, 83702
Website
www.adacounty.id.gov
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