Billing Specialist

Company: Community Options, Inc.
Location: San Antonio
Posted on: May 28, 2023

Job Description:

*Community Options, Inc.* is a national non-profit agency providing services to individuals with disabilities in 11 states.We are seeking a *Billing Specialist *in *San Antonio, TX *to be responsible for ensuring Community Options, Inc., is following all aspects and levels of federal, state, and local laws, regulations, and standards within the realm of billing and accounts receivable.*Schedule: *_Monday through Friday from 9:00 AM - 5:00 PM_*Requirements:** High School Diploma or equivalent and a minimum of two years accounts receivable/billing experience required.* Able to work in a fast-paced work environment.* Ability to effectively communicate externally as well as internally with all levels of the organization.* Focus on customer needs: anticipate, understand, and respond appropriately to the needs of internal and external customers to meet or exceed their expectations within the organizational parameters.* Ability to handle confidential information in compliance with HIPAA.* Ability to handle sensitive information in a calm and professional manner.* Ability to lead change and innovation.* Ability to prioritize, manage multiple tasks daily, and manage time efficiently.* Public relations ability, interpersonal skills, and professional telephone manner.* Excellent problem-solving skills.* Must be technically proficient in Excel and have TMHP experience as well as able to easily learn other support systems.* Must have proficient computer skills.* Knowledge of generally accepted accounting principles a plus.* Detail oriented; strong analytic skills.* Knowledge of NetSuite, Therap, and/or Millan computer systems a plus*Responsibilities:** Resolves a high volume of disputed claims by gathering, verifying, and providing additional information, while following-up on claims.* Monitors collections of receivables.* Monitor and resolve AR report receivables over 60 days old.* Monitor, process, and resolve appeals of receivables.* Monitor timely filing deadlines for each designated payer and ensure processing is completed in that timeframe.* Correct claims when errors occur (ex: ICD-10, Authorization number, etc).* Collaborate with regional office(s), intake, and revenue reconciliation department to ensure collection and resolve disputes throughout the lives of claims.* Maintains, develops, and updates essential billing records.* Assists in preparation of reports required by regulatory agencies as directed by the Billing Director.* Gather Medicaid billing information by reviewing consumer records.* Resolves discrepancies by examining and evaluating data, identifying corrective steps.* Examine, process, calculate and pay claims ensuring filings, documentation, and reports, etc. are accurate and complete.* Enter codes and verify data for computer processing.* Locate and notify designated payers of delinquent accounts by mail, telephone, or email to solicit payment.* Answer designated payer questions regarding problems with their accounts.* Record information about financial status of designated payers and status of collection efforts.* Sort and file correspondence and perform miscellaneous clerical duties, such as answering correspondence and writing reports.* Performs all other duties as required and assigned by Billing Director or other management.* Follows Community Options, Inc. policies and procedures.* Follows federal, state, and local laws and regulations pertaining to residential, day habilitation and other in-scope services.*Why Community Options?** Competitive Insurance Benefits (Medical, Dental, Vision)* Paid Holidays-Including a Birthday Holiday* Generous PTO* Employee Incentive & Discount Programs* 403b Retirement Plan* Incredible career growth opportunities* Exceptional Career Growth Opportunities* Employee Incentive & Discount Programs* Insurance Options (Medical, Vision, Dental)_Community Options is an Equal Opportunity Employer M/F/D/V__#IND-NA_Job Type: Full-timeBenefits:* Dental insurance* Health insurance* Paid time off* Vision insuranceSchedule:* 8 hour shift* Monday to FridayWork Location: In person

Keywords: Community Options, Inc., San Antonio , Billing Specialist, Accounting, Auditing , San Antonio, Texas