Job Description - Healthcare Medical Billing Specialist
As our Billing Specialist, you will work with assigned payers and accounts from initiation of one-touch, clean claim submission through payment resolution, including billing, rebilling/appeals, account resolution, and denial management. You will ensure that our receivables are entered and processed while maintaining customer/client support in a trauma-informed approach.
You will report to the Billing Manager. You will be in onsite training at our Lafayette, CO site for roughly the first 6 - 8 weeks and then considered for hybrid work.
Job Profile:
Do you have experience complete billing process with Medicaid, submitting claims to assigned payers within filing requirements?
Are you accurate in posting payments?
Do you have experience following up on all rejections, denials, and past due accounts to maximize collections?
Are you good at resolving problems regarding billing failures and re-bills for assigned payers and accounts?
You will prepare and complete the deposit process daily from start to finish including copying, tracking, and maintaining accurate files and recording in the General Ledger.
Have you completed worked with refunds, unclaimed funds, and escheatment process for assigned payers?
In your experience, have you responded to requests for information from customers (internal and external), work with other staff, clients or external third-party payers to resolve problems, challenges, or systemic issues?
Compensation: Approximately $21.50 - $26.50 per hour. All individual pay rates are calculated based on the candidate's experience and internal equity.
If this sounds like you, it may be a good time to join us at Clinica Family Health & Wellness and grow your career with us. Today is the day to apply with us!
What's In It For You:
Medical (Kaiser and Cigna options), dental, vision, FSA, HSA, life, disability, and retirement (with company match) plans.
Paid time off, paid holidays, and a comprehensive wellness program.
Engaged employer who believes you are an important factor in delivering our mission to the community with lots of opportunity to for dialogue with leaders.
Training, personal, and professional growth opportunities.
What We Need:
High School diploma or equivalent required.
Post high school business training desired.
Three (3) years recent accounts receivable/customer service experience in mental healthcare Medicaid billing and collections to include computerized billing systems, cash receipts, private collections, Medicaid, Medicare, managed care and/or traditional insurance.
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.
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