Billing Specialist
3 weeks ago
JOB SUMMARY The Billing Specialistis responsible for submitting authorization requests and enrollment forms toinsurance providers, ensuring timely and accurate processing of claims. The specialistwill also manage billing inquiries, verify patient insurance coverage, andtrack the status of authorizations and claims. Additionally, the role involvescollaborating with clinical staff to gather necessary documentation, correctingand resubmitting any denied claims, and maintaining compliance with allrelevant regulatory requirements. The Billing Specialist contributes to thefacility's financial health by optimizing revenue cycle processes andsupporting the delivery of high-quality care to clients. ESSENTIAL DUTIES ANDRESPONSIBILITIES: § Providecomprehensive administrative support to the Vice President of Clinical Servicesand the Accounting Manager/Finance Department. § Ensurecompliance with North Carolina licensing statutes, regulations, and contractualLME/MCO policies. § Collectand analyze program data, with a specific focus on authorizations andre-authorizations. § Addressbilling inquiries, verify patient coverage, and monitor the status ofauthorizations and claims. § Collaboratewith clinical staff and the Finance Department to compile necessarydocumentation, promptly correcting and resubmitting denied claims within a72-hour timeframe. § Preparation andsubmission of initial enrollments, target populations, and all documentsrequired for initial authorizations with all MCOs including Alliance, Partners,VAYA § Act as the Liaisonbetween Primary Counselor and MCO when additional information is requested § Respondto ALL denial emails that are received from MCOs including Alliance, Partners,VAYA § Facilitateadmission and discharge processes, as well as service planning and service planreviews § Conductquality assurance reviews to ensure compliance with licensing and contractualobligations § Adhereto all HIPPA and confidentiality rules and guidelines § Performadditional duties as assigned by the Vice President of Clinical Services withinthe scope of the position § Activelyengage as a member of the Hope Haven Clinical Team § Attending all required organizationalmeetings. POSITION QUALIFICATIONS: § Associate orbachelor's degree in the Human Services Field or related discipline with aminimum of one (1) year of related experience preferred. § Proficientin Microsoft Office Suite, with an ability to learn additional reportingsoftware as required. § Ability to workeffectively with a diverse, underserved population. PHYSICALREQUIREMENTS: • Keyboarding • Walking/Sitting • Lifting Hope Haven, Inc. is an EEO Employer - M/F/Disability/Protected Veteran Status
-
Billing Specialist
4 weeks ago
Charlotte, United States PeopleSuite Full timeScope of Position We seek a highly detail-oriented and experienced Billing Specialist to join our finance team. This is an in-office position located in Cornelius, NC that offers the opportunity to work in Accounts Receivable (AR) and Accounts Payable (AP). The ideal candidate should hold a college degree in Accounting and possess a strong understanding of...
-
Billing Specialist
3 weeks ago
Charlotte, United States Charlotte Staffing Full timeJob Posting: Billing Specialist At Mears Construction, we believe in developing and retaining the best people in the industry and providing the best value services to our customers in the natural gas and electric industries. We take pride in developing the infrastructure of our country by connecting people and resources. As an industry leader over the last...
-
Billing Specialist
2 weeks ago
Charlotte, United States Charlotte Staffing Full timeJob Posting: Billing Specialist At Mears Construction, we believe in developing and retaining the best people in the industry and providing the best value services to our customers in the natural gas and electric industries. We take pride in developing the infrastructure of our country by connecting people and resources. As an industry leader over the last...
-
Billing Specialist
2 weeks ago
Charlotte, NC, United States Charlotte Staffing Full timeJob Posting: Billing Specialist At Mears Construction, we believe in developing and retaining the best people in the industry and providing the best value services to our customers in the natural gas and electric industries. We take pride in developing the infrastructure of our country by connecting people and resources. As an industry leader over the last...
-
Billing Specialist Part Time
3 weeks ago
Charlotte, United States Joerns Healthcare Full timeThis is a part-time contractor 1099 position. The Billing Specialist is responsible participating in all facets of the billing department functions surrounding invoice setup, correction, and distribution. In addition, the position will provide suppor Billing Specialist, Billing, Part Time, Specialist, Processing, Accounting, Healthcare, Payment
-
E-Billing Specialist
4 weeks ago
Charlotte, United States Charlotte Staffing Full timeElectronic Billing SpecialistAs a member of the Accounting Department, the Electronic Billing Specialist is responsible for processing client bills, answers billing inquiries and assists in the monitoring and follow-up of related billing functions.Essential Functions:Submit invoices through the e-billing system and document progress within the eHub and...
-
Billing Specialist | AIA Construction
3 weeks ago
Charlotte, United States CRG Full timeBilling Specialist | AIA Construction Job Summary: Our Commercial Construction client in Pineville, is seeking a Billing Specialist with AIA billing experience to join their accounting team! This role is responsible for managing both accounts receivable and accounts payable functions using Sage software. Key duties include preparing accurate monthly AIA...
-
Billing Specialist
4 weeks ago
Charlotte, NC, United States PeopleSuite Full timeScope of Position The experience expected from applicants, as well as additional skills and qualifications needed for this job are listed below. We seek a highly detail-oriented and experienced Billing Specialist to join our finance team. This is an in-office position located in Cornelius, NC that offers the opportunity to work in Accounts Receivable (AR)...
-
Billing Specialist
2 weeks ago
Charlotte, United States MEARS CONSTRUCTION INC Full timeMears Construction, A Quanta Services Company At Mears Construction, we believe in developing and retaining the best people in the industry and providing the best value services to our customers in the natural gas and electric industries. We take pride in developing the infrastructure of our country by connecting people and resources. As an industry leader...
-
Medical Billing Specialist
4 weeks ago
Charlotte, United States Destinationone Consulting Full timeJob Description destinationone Consulting specializes in recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, Food and more. We are proactively building a data bank for opportunities in these fields. By applying, you ensure our recruiters can quickly match you with suitable...
