Specialty Billing Specialist

4 weeks ago

Arizona City, Arizona, United States StateServ Full time
Job Title: Specialty Billing Specialist

At StateServ, we are seeking a highly skilled and detail-oriented Specialty Billing Specialist to join our team. As a key member of our billing team, you will be responsible for conducting monthly pre-billing reviews and data quality analyses to ensure accurate invoices are delivered to customers and providers.

Key Responsibilities:
  • Conduct monthly pre-billing reviews and data quality analyses to ensure accurate invoices are delivered to customers and providers.
  • Process client and provider adjustments to ensure month-end invoices are correct.
  • Use a variety of collection techniques and forms relationships with business clients to resolve payment issues and escalate collection efforts as necessary.
  • Submit specialty billing for PACE and Medicaid clients using EDI software portal, reconcile EOBs, denied claims, and conduct accounts receivable follow-up.
  • Update pricing on orders in system to ensure invoice accuracy for special items, agreements, substitutions, and unauthorized deliveries.
  • Function as a key contact person for all billing data integrity matters for clients, vendors, and various internal departments.
Requirements:
  • High school diploma or equivalent is required.
  • A bachelor's degree in business or related field is preferred.
  • Medical billing and coding license is preferred.
  • At least two years of billing analytical experience in which employee worked within a team environment is required.
  • Experience in the healthcare or medical fields in which incumbents have gained an understanding of durable medical equipment is preferred.
Preferred Skills:
  • Proficient and accurate data-entry skills are required to record and manipulate data as previously described.
  • Strong interpersonal skills due to constant contact both internally and externally.
  • Ability to work with independently and displays good prioritization skills.
  • A high attention to detailed information is required to review and reconcile data.
  • Ability to read service level contracts and understand the fee schedule for client and vendors.
  • The ability to maintain confidentiality of patient information and follow standard operating procedures with regard to patient data to ensure compliance with HIPPA is required.
Equipment:
  • Strong knowledge of business and communications software (MS Office) and web-based tools are required.
  • Excellent spreadsheet (Excel) experience is required.
  • Experience with DMETrack software of at least one year is preferred.
Work Environment:

Work is generally performed in an office environment or remote setting in which there is only minimal exposure to unpleasant and/or hazardous working conditions.

Physical Requirements:
  • Regular eye-hand coordination and manual dexterity is required to operate office equipment.
Additional Information:

No additional information is applicable.

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