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