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This is a highly responsible and independent fiscal position working under the direction of the ACCOUNTANT SUPERVISOR I - SES in managing the departments financial and business functions of all aspects of the Accounts Receivable and Billing Operations of multiple county health departments as defined by appropriate inter-agency agreements. For all counties as appropriate, plan, direct and coordinate accounting, collection and billing functions including: recording services; billing for services; monitoring accounts receivable/billing reports; bill file creation process; processing of payments and denials; processing client statements contract and MAO invoicing; write-offs and collections. Audits, analyzes and reviews services for verification of all insurance information; makes necessary determination as to the correct insurance and processes all claims accordingly. Researches claims for Medicaid, Medicare and other third party insurance. Contacts insurance carriers when necessary to re-evaluate claims for payment. Responsible for collaborating with other departments if necessary. Reviews claims for CPT and ICD codes for accuracy. Maintains a working knowledge of Medicaid, medicare and various insurance billing policies, which includes but is not limited to: service limitations billable under CSR/managed care and service limitations/billable by billing type. Ensures HMS has been updated as appropriate in area related to billing with current fees, provider numbers, NPI, taxonomy and license numbers, etc.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed

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