Billing Specialist

Description

Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states.

We are actively seeking a  Billing Specialist in Newtown, PA . The Billing Specialist is responsible for ensuring compliance with all aspects and levels of federal, state, and local laws, regulations, and standards. You 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 an onsite opportunity.

Responsibilities

• Process initial claims from Therap (electronic medical record system) 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 manually and electronically
• Resolve a high volume of disputed claims by gathering, verifying, and providing additional information, following up on claims
• Monitor filing deadlines for each designated payer and ensure processing is completed in that timeframe
• Assist in preparation of reports required by regulatory agencies as directed by the medical billing supervisor
• Gather both private and Medicaid billing information by reviewing consumer records
• 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
• Create customer accounts and invoices in NetSuite
• Additional tasks and responsibilities may be assigned
• Employee must cooperate with the license and department staff in any inspection, inquiry, or investigation

Minimum Requirements

Why Community Options?

Please Visit Our Website to Complete an Online Application! Careers.comop.org

Community Options is an Equal Opportunity Employer   M / F / D / V

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