COMCARE Billing Specialist - COMCARE

Sedgwick County•Wichita, KS

10d•Onsite

About The Position

The Billing Specialist role at COMCARE is responsible for submitting new and renewal credentialing applications for Health and Human Services’ licensed provider staff to all applicable Managed Care Companies. This role also monitors the licensing renewal dates of all licensed provider staff, manages provider data, and provides customer service related to credentialing.

Requirements

High School Diploma or equivalent
One year office or administrative support
Must meet minimum scores on identified skills testing
Post-Interview tests required are MS Excel 70%; MS Word 80%
Meet the specifications as outlined in the CMHC/CCBHC licensing standards
Pass KBI, DCF child abuse check, adult abuse registry, and motor vehicle screens
Must complete orientations provided by Sedgwick County and COMCARE

Nice To Haves

Some College
One year credentialing experience

Responsibilities

Prepare credentialing documents for licensed providers
Submit both credentialing and re-credentialing applications to various companies
Compile provider information on roster spreadsheets for the KanCare Managed Care Organizations
Data entry of provider information into various websites
Communicate with providers regarding any missing credentialing documentation
Follow up with payors to obtain credentialing effective dates
Track license/certification renewal dates
Notify providers when certifications/licenses are within one month of expiration
Obtain documents and scan into On base
Submit address/license updates to applicable Managed Care Companies
Maintain online credentialing database which is accessible by various payers
Update and maintain staff record within Avatar
Update and maintain Managed Care panel listings
Review weekly claim error reports to determine if additional information is needed on the provider record
Answer phone calls and take necessary action to resolve issue
Work with provider relations representatives to obtain necessary credentialing information related to submitting credentialing data correctly
Resource for assisting providers with all Credentialing questions
Provide notification to COMCARE/Health providers when credentialing status has changed