About Us: NurseSpring®, a dynamic team reimagining home health care and redefining staffing one nurse, one shift at a time, is currently seeking a highly skilled and motivated MCO/Billing Specialist to join our team. This position offers an exciting opportunity to play a key role in managing our accounts receivable and billing processes while contributing to the success of our organization. Clients choose us because we don’t just provide service; WE SERVE – always going the extra mile to ensure our nurses, and those being cared for are treated with compassion, dignity, and respect.

NurseSpring runs on EOS (Entrepreneurial Operating System)—by getting clarity in our VISION, focusing on our PEOPLE and DATA, simplifying our PROCESSES, and solving ISSUES, we are able to gain TRACTION in our organization to deliver results.

Job Description: As the MCO Billing Specialist, you will be responsible for overseeing all aspects of accounts receivable, with a primary focus on collecting outstanding payments from state-funded recipients. You will work closely with third-party vendors such as HHAeXchange and Tellus to submit billing accurately and efficiently. In addition, you will manage past due accounts, maintain customer credit files, and provide support for audit requests. This role requires excellent organizational skills, attention to detail, and the ability to maintain strong client relationships.

If you have any other accounting, benefits coordination, payroll, or customer service experience, there may be an opportunity for you to add value in these areas as well.

Pay: Starting at $25/hr

Responsibilities:

• Maintain oversight of all accounts receivable, including past due or problem accounts
• Inform management and executive teams of collection activities and provide insight on customer relations
• Manage third-party vendors to submit billing for state-funded recipients
• Render credit decisions after thorough review of financial statements and credit applications
• Maintain and update customer credit files and credit limits
• Provide support for audit requests and ensure compliance with company policies
• Contribute to special projects, process improvement initiatives, and ad-hoc requests as needed
• Process payroll for nurses on a weekly basis
• Process direct deposits for field nurses weekly
• Ensure timely remittance of Federal and State tax deposits
• Reconcile insurance and other payroll deductions

Requirements:

• Experience with MCO or other insurance billing
• Strong data, computer, and math skills
• Strong Microsoft Office and Excel Skills
• Experience with Sage and QuickBooks Software preferred
• Experience with HHAeXchange, Tellus, and other managed care vendors preferred
• Excellent organizational skills with the ability to prioritize tasks effectively
• Outstanding communication and interpersonal skills
• Diligent and firm with high ethical standards
• Proven ability to manage, resolve, and prevent problems
• Experience with insurance and medical billing is beneficial

Competencies:

• Positive attitude with drive and determination
• Excellent organizational skills
• Outstanding communication and interpersonal skills
• Diligent and firm with high ethical standards
• Proactive in managing, resolving, and preventing problems
• Ability to listen, empower, and anticipate needs
• Experience with insurance and medical billing is beneficial

Our highly committed team is looking to add an MCO/Billing Specialist who will build employee trust by providing a quality experience for the NurseSpring® staff and business associates. If you know you can make a difference, want to be part of an energetic, thriving business in healthcare, and have an excellent can-do attitude, submit your resume to be part of this incredibly successful team.

Job Types: Full-time, Part-time

Pay: From $25.00 per hour

Benefits:

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

Schedule:

• Monday to Friday

Experience:

• insurance billing: 1 year (Required)

Ability to Relocate:

• Pensacola, FL: Relocate before starting work (Required)

Work Location: In person