Billing Specialist
Billing Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Community Options Inc. is a national nonprofit agency providing services to individuals with disabilities in 12 states.
We are seeking aBilling Specialist in Princeton NJ to be responsible for ensuring Community Options Inc. is following all aspects and levels of federal state and local laws regulations and standards within the realm of billing and accounts receivable. The Billing Specialist is responsible for ensuring Community Options Inc is in compliance with all aspects and levels of federal state and local laws regulations and standards within the realm of billing and accounts receivable. This person will collect Medicaid reimbursements by resolving discrepancies adjusting claims preparing reports monitoring collections and providing excellent customer service to internal staff and designated payers.
This is not a remote position.
Responsibilities
- Process initial claims from Therap or other applicable billing platforms by the process of examining calculating and or adjusting claims
- Maintain billing platform to ensure accuracy of financials and submitted billing
- Submit claims to payers manually or electronically
- Resolve a high volume of disputed claims by gathering verifying and providing additionalinformation following up on claims
- Monitor collections of receivables
- Monitor and resolve AR report receivables over 90 days old
- Monitor process and resolve appeals of receivables
- Monitor filing deadlines for each designated payer and ensure processing is completed in thattimeframe
- Correct claims when errors occur (ex: ICD10 Authorization number etc.
- Collaborate with branch office(s) claims processors and billing department to ensure collectionand resolve disputes throughout the lives of claims
- Maintain develop and update essential billing records
- Assist in preparation of reports required by regulatory agencies as directed by the medicalbilling supervisor
- Gather both private and Medicaid billing information by reviewing consumer records
- Resolve discrepancies by examining and evaluating data identifying corrective steps
- Enter codes and verify data for computer processing
- Locate and notify designated payers of delinquent accounts by mail telephone email or
- personal visits to solicit payment
- Answer designated payer questions regarding problems with their accounts
- Record information about financial status of designated payers and status of collection efforts
- Perform all other duties as required and assigned by administrator and/or supervisor
- Follow Community Options policies and procedures
- Follows federal state local laws and regulations pertaining to home care services
- Create customer accounts and invoices in NetSuite
- Employees must cooperate with the licensee and department staff in any inspection inquiry orinvestigation
- Additional tasks and responsibilities may be assigned
- Minimum Requirements
- High School Diploma or equivalent
Minimum Requirements
- Minimum of two years accounts receivable/billing experience
- Excellent verbal written interpersonal and communication skills
- Knowledge of general accounting principles
- Proficiency in Microsoft Word and excel
- Excellent oral and written communication skills
- State training as required
- Community Options orientation
- Valid drivers license with satisfactory driving record
Working Conditions
- Ability to work in a fastpaced environment handling multiple priorities
- Occasional overtime is required throughout the year
- Minimal hazards general office working conditions
Why Community Options
- Competitive Insurance Benefits (Medical Dental Vision)
- Paid HolidaysIncluding a Birthday Holiday
- Generous PTO
- Employee Incentive & Discount Programs
- 403b Retirement Plan
- Incredible career growth opportunities
If interested please click Apply Now or Send Resumes to:
Community Options is an Equal Opportunity Employer M/F/D/V
Required Experience:
Unclear Seniority
Employment Type
Full-Time
