COMCARE Billing Specialist - COMCARE

Sedgwick County•Wichita, KS

About The Position

The COMCARE Billing Specialist supports COMCARE billing functions to ensure claims for services are processed timely and all potential revenues are generated. Billing work must follow current acceptable accounting and cost reimbursement principles relating to health care and the Sedgwick County Health and Human Services division. The role manages provider data and credentialing, processes electronic claims, and maintains patient accounts while providing customer service. Duties include updating provider records with managed care companies, processing inbound claim files and resolving errors, working unpaid claims, assisting visitors and callers, processing payments, and performing related data-entry and mail-distribution tasks.

Requirements

High school diploma or equivalent.
One year of office or administrative support experience.
Pass a post-interview Excel pre-employment test with a score of at least 70%.
Meet specifications outlined in the CMHC/CCBHC licensing standards.
Pass KBI, DCF child abuse, adult abuse registry, and motor vehicle screenings.
Complete orientations provided by Sedgwick County and COMCARE.

Nice To Haves

Coursework in health care billing.
One year of experience in health care billing or a related field.

Responsibilities

Update provider information with managed care companies, including address and license changes.
Notify managed care companies of provider terminations.
Complete provider attestations for various payors.
Verify Medicare provider revalidation dates.
Process inbound 837 files from affiliate partners.
Work electronic claim errors and rejections, make corrections, and resubmit claims as needed.
Process claim adjustments received from COMCARE affiliate partners.
Run pre-billing edit reports for affiliate programs.
Work aged receivables for assigned payors to resolve unpaid claims.
Work aged receivable spreadsheets received from COMCARE affiliate partners.
Greet customers entering the building and announce visitors to staff.
Take walk-in payments and write receipts.
Update patient addresses based on returned mail and inhibit mailing on accounts.
Enter revenue data in the Access database.
Enter charges into the electronic medical record.
Process and post credit card payments and mail receipts.
Answer phone calls and take necessary action to resolve issues.
Distribute COMCARE billing mail to applicable staff.