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Billing Specialist na Momsmeals

Momsmeals · Ankeny, Estados Unidos Da América · Hybrid

AWS

Microsoft Excel

CRM

CMS

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Description

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

    • Required Skills and Experience

  • High School Diploma or GED
  • 2+ years of work-related experience in healthcare related field, ie, healthcare billing institutional and professional claims, patient registration, and/or patient access
  • Intermediate level Excel skills
  • Strong oral and written communication skills
  • Ability to multi-task, set priorities, and pays close attention to detail
  • Strong ability to work with team members across multiple departments
  • Ability to work unsupervised with strong critical thinking and problem-solving skills       
  • Experience with Waystar, CRM, D365, and/or electronic health record platforms
  • Must have a wired internet connection using an ethernet port. Broadband internet wired to the home is required - Cable Modem/service or Fiber Optic. No Satellite, 4/5G, or DSL circuits
  • Must have a quiet workspace that is free from distraction

    • Preferred Skills and Experience

  • Bachelor's degree in healthcare administration, medical administrative assistance, or healthcare finance
  • Previous experience with electronic claims, such as electronic 835/837 claim and remit files, Zirmed, and/or secure payer web portals
  • AAHAM and/or HFMA certification
  • Knowledge of CMS regulation and strong familiarity with healthcare billing standards and compliance
  • Experience with Waystar, CRM, D365, and/or electronic health record platforms

    • Physical Requirements

  • Repetitive motions that include the wrists, hands and/or fingers
  • Sedentary work that primarily involves sitting, remaining in a stationary position for prolonged periods
  • Visual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus

    • Additional Information

    Company Overview

    Mom’s Meals is a home-delivered meal service providing fully prepared, refrigerated meal solutions direct to homes nationwide for over 25 years. We provide seniors, patients recovering post-discharge and those managing a chronic condition with tailored nutrition solutions to manage their specific needs. If you are passionate about the well-being of others and have a strong sense of community, Mom’s Meals could be the place for you! We are a family operated business looking for fun, compassionate, and friendly people who want to make a difference in the lives of others.


    EEO

    Mom’s Meals complies with all applicable federal and state non-discrimination laws. All qualified applicants shall receive consideration for employment without regards to race, religion, national origin, ancestry, color, gender, age, disability, sexual orientation or military status.
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