Healthcare Billing and Collections Specialist
About The Position
Grace Community Care & Homes is developing its Central Operations department and seeks a Healthcare Billing and Collections Specialist. The role will contribute to person-centered services, reliable operations and accurate documentation. This is a planned role. Start date and duties are contingent on applicable program approvals, funding, credentialing and staffing readiness. Services may begin only within the approved scope. Location and schedule: New Jersey, with administrative coordination through Grace and on-site or community assignments as applicable. Clinical services begin only at approved locations and within authorized scope.
Requirements
- Medicaid and managed-care billing experience
- Familiarity with claim submission, payment reconciliation, denial appeals and authorization limits
- Provide relevant credentials, experience, availability and a resume
- Final regulatory eligibility will be verified before appointment or service delivery
Responsibilities
- Reconcile services against authorizations and documentation
- Submit claims
- Post remittances
- Resolve denials
- Follow unpaid balances
- Report collections by program
- Work collaboratively with department leadership, intake, credentialing, billing and quality teams
- Maintain confidentiality
- Respect participant choice
- Communicate service gaps promptly
- Follow role-specific policies and professional scope
- Participate in orientation, competency review and quality improvement
Benefits
- Paid time off under company policy, including applicable earned sick leave
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
Education Level
No Education Listed
