Billing Specialist

Community Options, Inc. • Full-time • Princeton, New Jersey, United States • from $24 / hour • 2d ago

Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states.

We are actively seeking a Billing Specialist in Princeton, NJ. The Billing Specialist is responsible for ensuring compliance with all aspects and levels of federal, state, and local laws, regulations, and standards. You will collect Medicaid reimbursements by resolving discrepancies, adjusting claims, preparing reports, monitoring collections, and providing excellent customer service to internal staff and designated payers. This is an onsite opportunity.

Starting Pay: $24.00 per hour

Responsibilities

Process initial claims from Therap (electronic medical record system) or other applicable billing platforms by the process of examining, calculating, and or adjusting claims
Maintain billing platform to ensure accuracy of financials and submitted billing manually and electronically
Resolve a high volume of disputed claims by gathering, verifying, and providing additional information, following up on claims
Monitor filing deadlines for each designated payer and ensure processing is completed in that timeframe
Assist in preparation of reports required by regulatory agencies as directed by the medical billing supervisor
Gather both private and Medicaid billing information by reviewing consumer records
Enter codes and verify data for computer processing
Locate and notify designated payers of delinquent accounts by mail, telephone, email, or personal visits to solicit payment
Create customer accounts and invoices in NetSuite
Additional tasks and responsibilities may be assigned
Employee must cooperate with the license and department staff in any inspection, inquiry, or investigation

Minimum Requirements

High school diploma or equivalent
Minimum of two years accounts receivable/billing experience
Valid driver's license with satisfactory driving record
Excellent verbal, written, interpersonal, and communication skills
Knowledge of general accounting principles
Proficiency in Microsoft Word and excel
Employment is contingent upon successful completion of checks of criminal background, central registry, child abuse registry, and drug testing

Why Community Options?