Billing Specialist

MerakeySusquehanna Township, PA
3h$18Remote

About The Position

Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. We are seeking a Billing Specialist to join our Business Operations team. Shift: Remote position open to candidates residing in PA, NJ, or DE Earn up to $18/hr depending on experience. Position Details The Billing Specialist is responsible for the daily activities relating to ensuring the prompt and accurate entry and billing of the Intellectual and Developmental Disabilities (IDD) Service line, along with other ancillary billings that are performed by the team. This position will also manage denials and re-billing tasks as well as tracking reason’s for Open AR documenting claim status in Avatar/Excel spreadsheet’s. Authorization entry, charge entry task variance review and managing claim denials are some of key components relating to successfully maintaining this position. Ensures that information is received and entered within established timeframes, allowing for no disruptions to the revenue cycle.

Requirements

  • High School Diploma or GED required, with additional education and Bachelors preferred
  • 1 to 3 years proven Billing experience (MH/IDD Nonprofit or Healthcare preferred)
  • 1 to 3 years experience in back end Accounts Receivable processing (preferably for IDD billing)
  • Must be Proficient in Excel and have strong PC skill overall
  • Proven ability to navigate Electronic billing system and enter accurate charges using variety of entry methodology including Spreadsheet uploads and then proven ability to verify/validate charges with completeness and accuracy
  • Must be Highly motivated individual that can work well within a team, but also independently with minimal supervision, and be an effective communicator with proven record of working well in a fast paced billing environment.
  • Strong Organizational and analytical skills required
  • Proven Customer Service skills
  • Good interpersonal Skills

Nice To Haves

  • Experience and working knowledge of IDD (Intellectual Disability) billing including Pennsylvania HCSIS and PROMISe systems a strong plus. Experience with Billing other State Medicaid such as New Jersey and Delaware State a strong plus as well

Responsibilities

  • Assure weekly and monthly billing duties are completed including client registration, authorization entry and management and charge entry
  • Assure all Billing is done within regulations and in compliance with Federal, State laws and company policy.
  • Working Accounts Receivables and any denials
  • Must be able to analyze and uncover reason's claims are denying and be able to fix and identify issues and report to management accurately and timely.
  • Maintaining both paper records as well as electronic files
  • Must be able to meet deadlines and be extremely detail oriented.

Benefits

  • Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support.
  • Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions.
  • DailyPay -- access your pay when you need it!
  • On the Goga well-being platform, featuring self-care tools and resources.
  • Access Care.com for backup childcare, elder care, and household services.
  • Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP).
  • Tuition reimbursement and educational partnerships.
  • Employee discounts and savings programs on entertainment, travel, and lifestyle.
  • Access to Pryor Online Learning for free online personal development classes.
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