Billing Specialist

Job Summary:

• Provides subject matter expertise and assist with day-to-day oversight of the billing cycle.
• Becomes proficient in all computer applications that support the billing cycle and ensures staff proficiency on these applications.
• Ensures timely and accurate completion of the eligibility confirmation process to ensure timely claim resolution and reduce denials.
• Ensures timely and accurate completion of daily and weekly billing that increases clean claims and reduces rejected claims.
• Manages all follow-up activities to ensure all claims are fully collected with no outstanding balances remaining.
• Reduces Accounts Receivable by increasing cash collections and reducing denials while meeting compliance standards.
• Ensures cash receipts are applied accurately and timely to all accounts.
• Identifies trends that impact billing such as held claims, rejected claims, denials, and other issues the prevent timely claim adjudication, and communicates these trends to the Assistant Vice President - Revenue Cycle.
• Actively participates or leads interdepartmental workgroups that improve or streamline revenue cycle processes.
• Ensures all activities of the billing operation are compliant with Federal and State payer regulations, guidelines and requirements.
• Provides billing support to other departments; provides timely reports and responses to Leadership.
• Assists with training, mentoring and day-to-day supervision staff; manages productivity and deadlines of the billing team.
• Provides and promotes excellent customer service.
• Additional duties as assigned or as needed to support departmental or organizational goals.

Education and Experience:

• Bachelor degree or Medical Coding Certificate preferred.
• 5-10 years Medical, Billing and Collections experience including supervisory experience or a combination of education and experience.

Knowledge, Skill and Ability:

• Thorough understanding of the revenue cycle billing adjudication process
• Knowledge of medical terminology and ICD10 coding
• In-depth knowledge of Medicaid, Medicare, and Managed Care fee for service (FFS) billing and reimbursement.
• Knowledge of Electronic File transmittals/remits with Medicaid/Medicare EDI departments
• Strong computer skills including MS Office (Word &Excel)
• Strong leadership and interpersonal skills.
• Excellent verbal and written communications skills.
• Ability to multi-task, prioritize competing demands and thrive in a fast-paced environment.
• Ability to make independent decisions and accurate judgements for A/R, billing, and office duties.
• Experience using EVOLV system is helpful but not required.

Job Type: Part-time

Pay: $17.00 - $25.00 per hour

Benefits:

• 401(k)
• Health insurance

Ability to Commute:

• Columbia, MD 21045 (Required)

Ability to Relocate:

• Columbia, MD 21045: Relocate before starting work (Required)

Work Location: In person

Salary : $17 - $25