Description:

The Billing Specialist is responsible for accurate and timely billing for all customers.

- Achieves department goals in volume, production, quality, and customer service.

- Performs Medicaid eligibility checks as required for accurate monthly billing and prepares monthly billing statements.

- Creates pre-bills and review for accuracy multiple times throughout the month.

- Composite billing such as: review of software limitations and error correction, claim submission and reject resolution, and split billing charges as appropriate.

- Resolves rebilled rejected claims.

- Researches and processes price matching requests along with monthly review/updates.

- Obtains and enters applicable Hospice information including formulary and payer adjudication details.

- Responds to customer service calls and emails from facilities, patients, families and responsible parties, and resolves reported issues through the online portal.

- Reviews census for payer changes and update as needed.

- Researches and obtains documentation for claims requiring BAE.

- Identify and process third party and facility/private write-offs.

- Reviews, processes and maintains DocuTrack billing documents queue.

- Provides internal customer service by communicating with and assisting other departments on billing related matters.

- Reviews, researches and responds to third party audits related to specific billing issues.

- Financial Reporting: Assigned daily, weekly and monthly reports, facility short pay review and communication, routine billing open batch review/processing and communication, census receipt/PPD calculations and facility and/or corporate communication.

Additional Skills & Qualifications:

- 3-5 years of Medical Billing experience preferred

- Experience handling 50 customer service calls daily

- Excellent verbal and written communications, typing, computer, efficient, organization, attention to detail and follow-up, ability to work under pressure, meet deadlines, accuracy, and medical terminology

- Overtime may be required during the first week of each month.

- Candidate would need to be able to start within 2 weeks of hire

Experience Level:

Intermediate Level

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.