Billing Specialist

1 day ago

Norristown, Pennsylvania, United States Gaudenzia Full time
Overview

Gaudenzia is a leading nonprofit provider of treatment to individuals with substance use and co-occurring disorders. We are seeking a skilled Billing Specialist to join our team, responsible for assisting with invoicing, coordinating authorizations, and ensuring proper paperwork for billing.

Responsibilities
  1. Submit insurance claims to clearinghouses or individual insurance companies electronically or via paper CMS-1500 forms.
  2. Follow up with insurance companies on unpaid or rejected claims, resolving issues and re-submitting claims as needed.
  3. Prepare patient statements for charges not covered by insurance, ensuring timely mailing.
  4. Post insurance and patient payments using medical claim billing software.
  5. Process secondary claims for patients with coverage by multiple insurers.
  6. Understand managed care authorizations and limits to coverage, such as visit limits.
  7. Verify patient benefits eligibility and coverage.
  8. Perform miscellaneous duties as assigned by the Accounts Receivable Supervisor.
Qualifications
  • Associate's degree in accounting or a related field, or two years of related education.
  • One year of related experience required.
  • Knowledge of office and clerical functions, Microsoft Word and Excel, and required reports and client file maintenance.
  • Ability to communicate effectively verbally and in writing, plan and organize work, and establish and maintain effective working relationships.
Benefits

Gaudenzia offers a competitive salary, generous health benefits, and unbeatable work-life balance. Our benefits package includes medical insurance, dental insurance, short-term disability insurance, life insurance, accidental death and dismemberment insurance, vision insurance, and various supplemental benefits.

We also offer paid time off, vacation accruals, 10 paid holidays per calendar year, paid bereavement leave, education assistance benefit, full reimbursement for professional license/certification renewals, and a 403(b) retirement plan with an employer match up to 5%.

Gaudenzia is an equal opportunity employer, committed to diversity, equity, and inclusion. We do not practice or permit discrimination based on race, gender, gender identity, gender expression, sexual orientation, age, national origin, religion, creed, disability, or veterans' status.

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