Billing Specialist
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Job Description
Billing Specialist supporting the Billing Manager in financial management services. Involves billing, reconciliation, and compliance tasks for programs supported by Palco.
Responsibilities:
- Understand and be able to execute all processes for billing programs timely and accurately.
- Prepare daily billing for all clients for management review.
- Generate and submit Electronic Data Interchange (EDI) processes for eligibility, claims and remittances.
- Review, analyze, and assess billing data to identify and resolve discrepancies, denials, or reimbursement issues.
- Prepare or provide support for various ad-hoc projects initiated by management.
- Prepare and provide regular and ad-hoc reports to interested parties.
- Work with and support all clients, partners, and staff in FMS-related issues.
- Develop working relationships with partners and staff.
- Provide outstanding customer service to clients and business partners.
- Ensure company compliance with state and federal tax and regulatory authorities.
- Comply with HIPAA and other federal and state requirements.
Requirements:
- Experience with Medicaid, MCO and Veteran billing required
- At least 2 years of billing experience.
- Experience with HP, DXC Medicaid Billing systems preferred.
- Knowledge of EDI processes for eligibility, claims and remittances.
- Must have good organization skills.
- Must have strong analytical and critical thinking skills.
- Must have a strong general understanding in tax, accounting, and finance areas.
- Must possess strong skills with email, internet, and Microsoft Office, including the use of Word, Excel, and file maintenance programs.
- Must have strong interpersonal and communication skills, both written and verbal.
- Must demonstrate strong attention to detail.
- Must be able to work independently under tight deadlines.
- Must be willing to work Monday through Friday, 8:00am-5:00pm or additional time if necessary, to complete duties and responsibilities.
Benefits:
- Generous Paid time off
- Annual bonus potential
- Retirement Savings: We will support you as you save for your future.
- Career Growth Opportunities: We help you thrive, so together, we can grow.
- Paid Training: Earn while you learn and continue to grow with access to internal and external learning opportunities.
- Great Work Environment: We are proud of our company culture of collaboration and the recognition we have received for our diversity efforts.
- Employer shared Health Insurance cost
- Employer paid Disability Insurance
- Employer paid Life and AD&D Insurance
- Vision Insurance
- Cancer Insurance
- Voluntary Life Insurance
- Paid Time Off
- Remote work environment
- Paid holidays
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