Job description

Job Summary:
The Billing Specialist will be responsible for coordinating with various insurance companies to bill claims, resolve unpaid/denied claims and will ensure timely and full collection of revenues. Billing is done directly with Medicaid and insurance companies under Managed Long-Term Care (MLTC) Plans, or with private pay contracts. This role reports to the Billing Manager.

Billing Specialist Duties:

• Coordinates with various insurance companies to resolve unpaid / denied claims for full collection of revenues.
• Generates rebills and adjustment billing as necessary in a timely manner and with accuracy.
• Ensures all claims are processed accurately and efficiently by using appropriate documentation, reference materials and payer websites.
• Work on timely corrections of front-end rejections with various clearing houses.
• Reconciles and resolves billing discrepancies on time and with accuracy.
• Accurately posting payment remit and reports.
• Working A/R aging report.
• Collaborates with the billing team and other departments on special projects.
• Performs other duties as assigned.

Qualifications and Experience:

• Associates and/or Certified Medical Billing Specialist.
• More than three (03) years of medical billing experience, preferred.

Skills and Competencies Required:

• Excellent verbal and written communication skills.
• Excellent problem-solving and critical thinking skills.
• Intermediate Microsoft Excel- preferred.
• High attention to detail.
• Ability to multi-task, prioritize and meet deadlines.
• Ability to perform repetitive tasks with a high degree of accuracy.
• Strong knowledge of various payer websites and interpreting denial reasons.
• Familiarity with HSys+, Ability ease All-Payer, CARETIME and HHAeXchange preferred.

The position is office-based and regular business hours are from 9:00 am to 5:00 pm, Monday to Friday.

Prolonged periods of sitting at a desk and working on a computer is required. Must be able to lift 15 pounds at times.

Job Type: Full-time

Pay: $22.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: One location

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