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Billing Specialist
Location
Iowa
Posted
94 days ago
Salary
0
Seniority
Senior
Job Description
Billing Specialist
Mom's Meals | A Purfoods Company
Title: Billing Specialist Location: IA-Ankeny Type: Full-Time, Hybrid Job Description: Position Summary The Billing Specialist is responsible for performing specified financial tasks in support of the day-to-day operations of the Billing/Revenue Cycle Department.We’re looking for someone with a strong internal drive to solve problems, drive collections, is a team player, and ensure every claim is handled with care and urgency. PTO and benefits available after 30 days of employment. Following training, this will be a hybrid position offering the opportunity to work 3 days in the office and 2 days remotely each week. Position Responsibilities may include, but not limited to - Create billing reports of assigned agencies - Submit accounts receivable claims and/or invoices for weekly/monthly billing of assigned agencies - Reconciliation of assigned state or local agencies - Research and resubmit of billings to assigned agencies - Review quality assurance of all referrals or updated clients from assigned state or local agencies - Make outbound & inbound calls, emails to assigned state or local agencies with the purpose of securing correct information regarding new referrals, updated clients, and billings - Responsible for executing complex billing tasks, mentoring junior staff, and leading cross-functional initiatives - Reduce payment agency backlog - Perform in-depth audits of project data to identify and resolve billing discrepancies - Demonstrate successful performance through accuracy, timeliness, and customer satisfaction metrics - Utilize advanced Excel functions (e.g., VLOOKUP) and reporting tools in CRM and SharePoint - Manage complex billing scenarios including denials, rejections, and aging accounts - Collaborate with Posting teams to resolve discrepancies and support month-end close - Prepare and submit electronic claims, paper claims, and invoices (CMS-1500, UBs, invoices, and payer portals, etc.) - Resolve claim rejections timely and resolve claim denials through research, appeals, claim corrections/resubmission, and follow-up with health plans - Ensure accurate and compliant billing, following specific regulations of multi-state Medicaid and MCO’s,Medicare Advantage, and Older Americans Act programs - Responsible for ensuring aged outstanding balances of assigned payers is kept within department standards - Participate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials, and aging - Other tasks as assigned, including but not limited to, assisting with projects that impact collections or write offs
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