What are the responsibilities and job description for the Credentialing/Billing Specialist position at Centers for Youth and Families, INC?
In this position, you will be responsible for the billing process.
- Submits Insurance, Medicare and Medicaid claims electronically on at least a weekly basis using our billing software or manually when needed.
- Submits secondary Insurance, Medicare and Medicaid claims on at least a weekly basis.
- Posts payments electronically as payments are received using billings software or manually when needed.
- Submits Medicare crossovers electronically on at least a weekly basis.
- Posts Medicare crossovers electronically as payments are received.
- Posts adjustments in our billing software per EOBs and transfers balance to other payers as necessary (as EOBs are received)
- Monitors EOB/notices from funding sources of non-payment/partial payment and resubmits with corrected/requested information.
- Works with funding sources to resolve problems with payments in a timely manner.
- Notifies appropriate staff of funding problems.
- Stays current on payer updates and recommends billing software updates that are needed due to upcoming changes by funding sources.
- Follow-up on past due claims.
- Researchers claim as necessary to ensure funds are collected in a timely manner.
High School education or equivalent
4 years related experience in credentialing/medical billing
The Centers is committed to meeting the unique and evolving needs of individuals by providing comprehensive integrated care that promotes physical. emotional, and social wellness for all.
For additional information about The Centers, please visit our website at www.thecentersar.com.
