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Senior Billing Specialist

1 month ago

Bentonville, Arkansas, United States PALCO Inc Full time
Billing Specialist Job Description

Palco Inc is a visionary company pioneering an emerging health-care movement that empowers people with disabilities and those aging to live independent and quality lives. Our company provides technology and financial services to aid individuals and their families to thrive in their home and communities.

The Billing Specialist supports the Billing Manager in all billing-related matters within the Financial Management Services (FMS) Department. Primary tasks will include billing and reconciling within mandated timelines for all programs supported.

  • Understand and execute all processes for billing programs.
  • Working knowledge of submitting EDI claims, such as 837s.
  • Conduct eligibility checks.
  • Assist with provider enrollment with Medicaid, MMIS, and Managed Care Organization setups.
  • Understand procedure billing and diagnosis codes, as well as denial reasons.
  • Resubmit failed claims submissions.
  • Prepare regular billing for all clients for management review.
  • Compile, analyze, and evaluate billing data.
  • Ensure company compliance with state and federal tax and regulatory authorities.
  • Prepare or provide support for various ad-hoc projects initiated by management.
  • Work with and support all clients, partners, and staff in FMS-related issues.
  • Develop working relationships with partners and staff.
  • Prepare and provide regular and ad-hoc reports to interested parties.
  • Provide outstanding customer service to clients and business partners.
  • Comply with HIPAA and other federal and state requirements.

Requirements:

  • Two (2) years of Medicaid billing experience required.
  • Experience with HP, DXC Medicaid Billing systems preferred.
  • Must have good organization skills.
  • Must have strong analytical and critical thinking skills.
  • Must have a strong general understanding in tax, accounting, and finance areas.
  • Must possess strong skills with email, internet, and Microsoft Office, including the use of Word, Excel, and file maintenance programs.
  • Must have strong interpersonal and communication skills, both written and verbal.
  • Must demonstrate strong attention to detail.
  • Must be able to work independently under tight deadlines.

Benefits:

  • Generous Paid time off.
  • Quarterly/Annual bonus potential.
  • Retirement Savings: We will support you as you save for your future.
  • Career Growth Opportunities: We help you thrive, so together, we can grow.
  • Paid Training: Earn while you learn, and continue to grow with access to internal and external learning opportunities.
  • Great Work Environment: We are proud of our company culture of collaboration and the recognition we've received for our diversity efforts.