What are the responsibilities and job description for the Field & Finance Support Specialist position at Choices CCS?
The Field and Finance Support Specialist is responsible for assisting with claims, corrections to missing or denied claims, monitoring documentation, gathering support and documentation needed for billing. The Field and Finance Support Specialist will also manage the status of claims invoices and denials, identifying opportunities for claim submission. Will also support any claims correction and processing by collaboration with clinical and finance staff for efficient and accurate payments. May perform other duties as assigned to support staff.
Essential Duties and Responsibilities
- Gathers and maintains support needed for accurate claim submission.
- Manages status of claims and denials through accurate logging of claims corrections and submissions and maintaining current records.
- Adheres to timely filing requirements and collaborates with clinical staff and finance staff to resolve unbillable claims.
- Verifies the accuracy of documented information through reconciliation to EHR system.
- Corresponds with staff to determine validity of documentation for billing codes. Has a strong understanding of the billing requirements and necessary documentation.
- Assists staff with monthly documentation needed for monthly claims reporting.
- Serves as a back-up to the support specialist.
- Provides customer support to Choices’ providers, internal partners and contractors.
- Willingly completes other duties as assigned to meet the strategic and financial objectives of Choices.
Qualifications
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- Bachelor’s degree in business or related studies, or bachelor’s degree and one year of experience directly related to position duties.
- Strong customer service skills
- Highly organized and detail oriented.
- Knowledge of Medicaid and MCO billing is required.
- Intermediate to advanced skills in EXCEL, experienced in data analysis, creating spreadsheets, and generating reports.
- Access to reliable transportation. If driving an automobile while on company business, must possess a valid driver’s license in state of residence and auto insurance.
- Demonstrated ability to:
- Work effectively with internal and external individuals, including other professionals in the community.
- Work effectively as a member of a team.
- Effectively communicate to various internal and external audiences in both person and through various electronic media.
- Manage time and work effectively with minimal supervision.
- Effectively manage multiple priorities simultaneously.
Salary: $47,000 - $52,000 annually
Benefits Include:
- Medical, Dental, Vision
- Employer Paid Life Insurance, Short & Long Term Disability
- 401k Match
- Tuition Reimbursement
- Paid Parental Leave
- Generous PTO plan
- Qualified employer for the Public Service Loan Forgiveness Program
Salary : $47,000 - $52,000