Healthcare Billing Specialist

6 days ago


Allentown, Pennsylvania, United States Phoebe Ministries Full time

Company Overview
Pheobe Ministries is a long-term care facility in Allentown, PA, dedicated to enriching the lives of seniors. We show our appreciation for employees' contributions towards carrying out our mission.

About the Job
We are hiring a Healthcare Billing Specialist (estimated salary: $55,000 - $65,000 per year) to join our team. This full-time position offers a competitive benefit package, including generous paid annual leave time and opportunities for growth and development.

Job Description
The successful candidate will be responsible for entering PA162's/MA Approvals for Medicaid Fee for Service and Community Health Choices MA products into the Billing System upon receipt. They will manage census line entries to ensure accurate billing, conduct audits to validate Resident medical expenses and insurance premiums submitted to Medicaid as part of the monthly billing cycle. Additionally, they will submit monthly claims and respond to any claim adjustments based on Medicaid protocols.

Responsibilities:

  • Enter PA162's/MA Approvals into the Billing System
  • Manage census line entries for accurate billing
  • Conduct audits to validate Resident medical expenses and insurance premiums
  • Submit monthly claims and adjustments
  • Review and prepare responses to Community Health Choices Claim Audit(s)
  • Update quarterly rates in PCC
  • Manage and respond to CHC Quality Improvement Program monthly data requirements

Requirements:

  • Degree or some coursework in Business Administration or related field
  • Minimum three years experience in related positions
  • Experience in medical claims billing/coding and insurance follow-up processes/procedures
  • Ability to thrive in a positive and respectful Customer Driven Culture

Benefits:
Generous Paid Annual Leave Time
Full Benefit Package, including Health, Dental, Vision and Life Insurance
Tuition Reimbursement
Service Awards & Recognition Gift Cards



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