Medicaid Billing Specialist

Company Overview

Companion Home Care is committed to enabling individuals to live life to the fullest in the comfort of their own homes. We provide compassionate and personalized care that promotes physical well-being, emotional stability, and self-determination. Our approach is rooted in understanding and compassion, as we strive to become part of your family.

Summary

We are seeking a Billing Specialist to join our team at Companion Home Care. This role is responsible for various duties related to authorizations, billing claims, posting payments, and collecting accounts receivable. Our team's goal is to reduce the organization's accounts receivable by keeping detailed accounting systems through our internal system. In this role, you will play a vital part in managing billing processes and ensuring accurate financial transactions related to our home care services and durable medical equipment transactions. Your work will contribute significantly to our mission of providing exceptional care while maintaining the dignity and respect our clients deserve.

Responsibilities

• Create batch billing from time records and create all invoices for the clients as needed.
• Submit and ensure all client’s electronic billing is processed according to payer timely filing guidelines as needed.
• Resolve all claim denials per the mandatory process.
• Contact payer by phone, email, fax, or support ticket to resolve denials for client.
• Review accounts receivable to identify posting or billing issues and resolve these issues.
• Liaison between clients, payers, and office staff.
• Post electronic and manual payments to accounts within mandatory process.
• Process billing for services rendered, ensuring accuracy and compliance with regulations.
• Maintain detailed records of billing transactions and client accounts.
• Communicate with clients regarding billing inquiries and resolve any discrepancies.
• Collaborate with healthcare providers to obtain necessary documentation for billing purposes.
• Stay updated on changes in medical coding and billing regulations, including ICD-10 and ICD-9 codes.
• Assist in the preparation of financial reports related to billing activities.

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Requirements

• 4+ years of experience in claims handling, healthcare billing, accounts receivable, aging reports, and/or posting payments.
• Must have healthcare claims experience.
• Must have excellent customer service skills.
• Ability to work independently.
• Strong attention to detail and high level of accuracy.
• Ability to prioritize workload and maintain an organized system for processes.
• Excellent written and verbal communication skills.
• Proficiency in Microsoft Office products, including Outlook, Excel, and SharePoint.
• Proven experience in personal care or general medical billing.
• Familiarity with NC LME/MCOs and Tailored Plan billing processes.
• Understanding of IDD terminology and NC Medicaid service definitions.
• Strong knowledge of medical terminology and coding practices, including ICD-10.

We invite you to apply today and become part of our dedicated team at Companion Home Care!

Job Type: Full-time

Pay: $23.00 - $26.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person