Our Billing Specialist directly contributes to our mission by timely and accurately billing the services we provide, collecting revenue, and working with families to make sure they feel supported throughout the billing process.
This is a hybrid role based in King of Prussia, PA, with in-office work Monday through Thursday and remote on Fridays. Candidates must be local to the King of Prussia, PA area.
SPECIFIC RESPONSIBILITIES:
- Denial response and accounts receivable follow up via Waystar and insurance portals
- Commercial and Medicaid, primary and secondary claims submission
- Work and manage claims from all aging buckets from initial billing through final resolution including identifying and correcting billing errors/rejections and denials
- Denial management investigations & appeals
- Input & Review billing data for accuracy, including data entry.
- Ensure that billing and collections adhere to all compliance policies and procedures.
- Work with Billing Manager and local clinic team members to ensure accurate billing.
- Follows up on claim resolution from initial billing through final
- Track and verify clients’ Medicaid status
- Develop relationships with PA Medicaid payors to ensure successful processing and payment of claims
- Assist the intake team in completing required Medicaid documents for new clients and clients in need of reassessment
- Serve as the point of contact for Medicaid audits
- Other responsibilities as assigned by the billing manager and director
Skills and Competencies:
- 5+ years billing experience required.
- Credentialing experience preferred.
- Central Reach, ABA, and/or previous remote experience required for remote work.
- Associate Degree in Accounting/Finance Management is plus, but not required.
- Strong communication and presentation skills.
- Previous patient admission or verification experience required.
- Confident communication skills for fielding calls on behalf of the agency and its representatives.
- Excellent written communication skills for professional emails and various reporting methods.
Personality: A successful Team Member will be…
- Detail-oriented & highly organized
- Communicative & collaborative
- Committed to purposeful care
- Ambition to grow with the company
Compensation: $22.00-$26.00/hour.
$22—$26 USD
