What are the responsibilities and job description for the Billing Specialist (Contractor/Part-Time) position at ABC Pathways, LLC?
We are seeking a Billing Specialist to join our team on a contractor/part-time basis, with the potential for a full-time role. Initially, this position will focus primarily on credentialing, invoicing/patient statements, and denial management. Over time, as the role transitions to full-time, responsibilities will expand to include claims submission and processing.
Key Responsibilities:
- Credentialing & Provider Enrollment:
- Credentialing and re-credentialing process for providers.
- Ensure all provider enrollment applications and supporting documents are accurately completed and submitted.
- Maintain up-to-date credentialing records and track expiration dates.
- Attest to keep the provider directory updated.
- Invoicing & Patient Statements:
- Generate and distribute invoices and patient statements in a timely manner.
- Ensure invoices are accurate and reflect proper services rendered.
- Address patient and insurance inquiries related to billing statements.
- Maintain and stay up to date with privacy regulations.
- Denial Management & Appeals:
- Investigate, track, and resolve denied or rejected claims.
- Submit corrections and appeal claims as necessary.
- Identify trends in denials and work with relevant departments to improve processes.
Future Responsibilities (Upon Full-Time Conversion):
- Claims Submission & Processing:
- Prepare and submit insurance claims for private insurance, and Medicaid.
- Monitor claim status and follow up on unpaid or rejected claims.
- Ensure compliance with payer guidelines and billing regulations.
- Reporting & Compliance:
- Maintain accurate financial records and billing documentation.
- Monitor accounts receivable and follow up on outstanding balances.
Qualifications:
- Experience in medical billing, generating patient statements, credentialing (CAQH), lllinois Medicaid (Illinois IMPACT system) and denial management.
- Strong knowledge of insurance reimbursement policies and claim appeals.
- Experience with Waystar and Kareo (preferred)
- Strong problem-solving skills and attention to detail.
Position Details:
- Employment Type: Contractor/ Part-Time (6 month contract) (Temp to Perm Full Time)
- Part Time/ Hybrid- 20-25 hours per week ( In Office Monday & Wednesday)
- Pay: $25 per hour
Salary : $25
