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Billing Specialist-Accounts Receivable
4 months ago
Apply (by clicking the relevant button) after checking through all the related job information below.
Works closely with Care Management and any other departments that may order Services for consumers.
ESSENTIAL FUNCTIONS include:
Provider Bills
Generate Service Orders.
Upload/enter Provider Bills for those without access to Provider Direct
Act as the resident expert on how Care Plans impact Service Deliveries and vice versa, support/educate Care Managers on how Service Plans/suspensions impact generated Service Orders.
Work with Providers and Care Managers to reconcile/resolve discrepancies and errors on provider bills.
Consumer Bills
Generate Consumer bills
Process Credit Cards
Ensure consumer payments are processed
Act as resident expert on Consumer Bills
Review Consumer bills for credits and overdue bills.
Oversee and maintain responsibility for Consumer payments.
Process Insurance Claims
Generate and submit Service Claims for SCO and One Care insurers.
Analyze waiver claims reports for distribution.
Other Duties
Post Monthly Meals
Generate monthly reports as required
Other Duties as Assigned
COMPETENCIES NEEDED:
Accountability : Demonstrates and communicates a high level of responsibility for and commitment to achieving results.
Communication Skills: Listens, speaks, and writes clearly and concisely; ensures all involved are kept informed about developments and plans; shares ideas and information with others who might find them useful; keeps supervisor informed about progress and problems.
Integrity: Achieve a high level of trust in relationships; respects others; adheres to the agencys values and guidelines for conduct.
Teamwork and Cooperation: Demonstrates willingness to work with others toward a common goal. Recognize both internal and external customers.
Time Management: Organizes and schedules people and tasks demonstrating the ability to balance work flow, regularly produces accurate, thorough, professional work.
Quality of Work: Maintains high standards and measures; is able to maintain despite pressing deadlines; does work correctly the first time and inspects work for flaws; tests new methods thoroughly; considers excellence a fundamental priority.
WORK ENVIRONMENT:
This position is largely sedentary and hybrid to allow some work-from-home and sometime in the agency office. This role regularly requires the use of a computer, telephone and other standard office equipment. Occasional travel to professional meetings is required.
Three years previous billing experience or relevant Accounting Experience preferred.
Proven ability to use Office 365 including Word, Excel, and Outlook.
Ability to work independently, with minimal supervision.
Advanced Excel (VLOOKUP, Pivot Tables)
Understanding Processes and Workflow
