Roessel Joy has partnered with a well-known healthcare service to hire a Billing Specialist. In this position, you would be working on a team of 15 medical billers. The ideal candidate would have experience with insurance/third party billing (i.e. medicade). Looking to fill this role ASAP!
Responsibilities:
- Facilitate credentialing of new clinicians with Medicare and Medicaid.
- Liaise with clinicians and staff of our Mental Health and Addiction Services Outpatient Clinics to verify compliance with established workflow processes involving patient-related forms and reports that support accurate and timely billing.
- Maintain an in-depth understanding of Medicaid and Medicare provisions and updates, as well as all managed care contractual requirements.
- Liaise with outside billing company to ensure their awareness and compliance with all applicable requirements.
- Perform review and reconciliation of Medicaid, Medicare and insurance remittances, and prepare weekly deposits for billing company.
- Review and troubleshoot Medicaid payment denials as warranted.
- Establish and maintain relationships with HMO/insurance providers, filing provider applications on behalf of agency, and reviewing contract proposals.
- Compile, develop, and analyze periodic reports for use by management, auditors and agency programs in Excel.
Qualifications:
- At least 3-5 years’ relevant experience performing and coordinating government and third-party insurer billing processes in a managed care environment, some of which is in a functional oversight-level role;
- Manage external vendor relationship, ensuring accurate/timely workflow in a multi-priority, deadline environment.
- Must have strong Microsoft Office skills, especially in Excel.
- Third Party Billing Experience.
- Medicare or similar insurance billing experience.
Job Types: Full-time, Contract
Pay: $15.00 - $22.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Work Location:
Work Remotely:
Work Location: One location