Billing Specialist - Medical Biller

Abode Care Partners•Louisville, KY

5d•$21 - $24

About The Position

The Billing Specialist supports Abode Care Partners' revenue cycle, with a primary focus on accounts receivable for Medicare Part B, Medicaid, and other third-party insurance payers. The role monitors aging reports, follows up on unpaid and underpaid claims, resolves denials and rejections, and submits appeals and corrected claims. It also supports claim submission and ensures that required documentation, billing data, payments, and financial records are processed according to company policies, payer requirements, and applicable State and Federal regulations. Abode Care Partners, an affiliate of BrightSpring Health Services, provides integrated medical services to individuals in settings including skilled nursing facilities, assisted living, independent living, group homes, and private homes. Its care serves older adults, people with complex conditions or special needs, and individuals with intellectual and developmental disabilities.

Requirements

High school diploma and equivalent related work experience.
Effective verbal and written English communication skills.
Intermediate to advanced skills in Microsoft Word, Excel, PowerPoint, and Outlook, as well as Internet and Intranet navigation.
Professionalism and the ability to maintain confidentiality.
Ability to communicate across all levels of the organization and work well in a team environment.
Customer-service orientation and ability to work well under pressure.
Strong attention to detail and accuracy, excellent organizational skills, and ability to prioritize, coordinate, and manage multiple projects while maintaining quality and productivity.
Strong analytical and problem-solving skills.
Ability to work with minimal supervision, take initiative, and make independent decisions.
Ability to handle new tasks without written procedures.
Approachable, flexible, and adaptable to change.

Nice To Haves

At least one year of billing and/or coding experience.

Responsibilities

Prepare monthly Medicaid, Medicare Part B, and other insurance billings, and follow up promptly with intermediaries and commercial insurance carriers regarding delinquent payments.
Obtain and submit required documentation for third-party payer billing in accordance with program and company guidelines.
Enter ancillary and charge data into the billing system and/or Excel spreadsheets accurately and on time.
Work with or support the Revenue Cycle Team in planning Business and Billing Office functions, including coordination with other disciplines and departments.
May assist the Revenue Cycle Team with monitoring daily Business and Billing Office operations and establishing priorities, managing records, budgets, or supplies.
Fill in for the Revenue Cycle Manager as needed, with limited or full authority as assigned by the COO/CFO.
Support the Revenue Cycle Team in meeting State, Federal, and Company standards; alert management to potential non-compliance and help prepare correction plans.
Assist with month-end close procedures, including charge input and cash receipts reconciliation.
Maintain accuracy and efficiency in all work performed.
Prepare disbursement checks for expenditures approved by the COO/CFO.
Assist with filing and storage processes and systems as needed.
Assist with company information tracking and reports as needed.
Perform other special projects and duties as assigned.