What are the responsibilities and job description for the Billing Specialist I position at Medicaid Billing Solutions?
MBS is seeking a qualified candidate to join our team. Training is provided!
Must be able to successfully work from home during typical business hours (8AM-5PM) Monday through Friday. Must live in the Greater Cincinnati area and be able travel to Anderson Township for meetings and training. Occasional travel within Ohio for conferences, trainings, and meeting with clients.
Qualifications
- High school diploma or equivalent; higher education preferred.
- Experience in bookkeeping, accounting, billing, business or related field is a must.
What we do
We provide billing, consulting and training services to county boards and providers who serve individuals with developmental disabilities in the state of Ohio.
Job Purpose
Perform accurate, timely and efficient case note review and billing services for MBS clients. Provide support to the Director of County Board Services. We will train you!
Essential Duties & Responsibilities
Billing Specialist I is responsible for reviewing case notes for compliance and quality and providing feedback to Service and Support personnel. Responsibilities include but are not limited to:
- The majority of our work focuses on reviewing and reading TCM (Targeted Case Management) case notes to ensure accuracy and adherence to best practices. This involves meticulously checking for compliant billing codes, service codes and best practice methods from the industry case note guide.
- Read and review early intervention Title XX case notes for compliant billing codes, service codes and best practice methods.
- Read and review early intervention service coordination case notes for compliant billing codes, service codes and best practice methods.
- Provide feedback to appropriate county board staff regarding compliance and best practices.
- Create, review and send productivity reports.
- Submit billable services for reimbursement in accordance with DODD and/or ODM requirements and MBS procedures.
- Ensure all possible services and individuals are billed.
- Process third party insurance as required.
- Track submission, attestation, and payment of claims to achieve optimal return of payments to clients. Research, correct, and resubmit errors and denials in a timely manner.
- Assist clients with effective, efficient and compliant procedures to ensure accurate and timely billing.
- Review work, utilize software reports and procedures to identify possible errors and omissions.
- Participate in job related trainings both independently and as directed, including but not limited to security awareness (Pii); Advisor software, DODD, Microsoft Office products.
- Stay abreast of DODD Targeted Case Management billing, documentation, and other applicable rules and changes.
- Attend MBS staff meetings.
Skills Required
Problem solving, operation of a computer, printer, and scanner; operation of general office equipment; application of job software; typing; word processing. Communicate effectively in verbal and written form; exhibit a professional demeanor; maintain confidentiality; work regular hours, and to be efficient and effective in an office at home.
Experience
- Business related: 1 year (Preferred)
- Microsoft Excel: 1 year (Preferred)
Job Type: Part-time
Pay: From $14.91 per hour
Expected hours: 30 per week
Benefits:
- 401(k) matching
- Flexible schedule
- Paid time off
- Work from home
Schedule:
- Monday to Friday
Supplemental Pay:
- Bonus opportunities
Work Location: Hybrid remote in Cincinnati, OH 45255
Salary : $15