Central Intake Specialist

MGA Homecare•Nashville, TN

1d•Remote

About The Position

The Central Intake Specialist is responsible for managing invoice batches, ensuring accuracy, and processing them through various systems. This role involves verifying information, identifying and resolving discrepancies, and maintaining detailed records of all billing transactions. The specialist will also be responsible for generating reports, monitoring claim processing, and communicating effectively with staff and management to support the company's financial operations and mission.

Requirements

Knowledge of Billing and Collections procedures
Strong attention to detail and goal oriented
Excellent written and verbal communication abilities
Maintain strict confidentiality; adhering to all HIPAA guidelines and regulations
Must live in North Carolina or Tennessee
Must have NC and TN Medicaid experience

Responsibilities

Draft invoice batches for each location and review for missing information and corrections for rates, billing codes, diagnosis, ID numbers, and authorization.
Verify invoices with missing authorization codes have valid authorization.
Create spreadsheets for missing authorization or information, then submit to the appropriate person at each location.
Finalize invoices that do not have any discrepancies.
Export non AHCCS invoices and submit AHCCS invoices to 3rd party for review.
Enter required invoices into Texas Medicaid portal.
Print paper invoices.
Create Unbilled billable report with explanation for each unbilled invoice.
Check Emdeon website weekly to ensure all submitted claims are being processed.
Document all conversations and billing transactions in the management system.
Recognize and analyze billing and collections problems.
Communicate effectively with staff and management.
Appropriately perform all other duties assigned by Finance Manager or Director of Finance.
Supports and executes the mission, ethics, and goals of the company effectively.
Represents themselves in a positive and professional manner in the company and community.
Adheres to dress code with a clean and neat professional appearance.
Reports on time and as scheduled in order to complete work within designated time.
Adhere to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team.