Billing Specialist
@ Mom's MealsBilling Specialist
About the job
Mom’s Meals provides home-delivered, fully prepared meals for seniors and those with chronic conditions. The Billing Specialist handles financial tasks, supports billing operations, and collaborates across teams to ensure accurate claims and revenue management.
Requirements
- 2+ years healthcare billing experience
- Intermediate Excel skills
- Strong communication skills
- Ability to multi-task and prioritize
- Work unsupervised with problem-solving skills
Qualifications
- High School Diploma or GED
- Experience with healthcare claims
- Experience with billing platforms
- Strong attention to detail
- Quiet dedicated workspace
Full job description
Position Responsibilities may include, but not limited to
- Create billing reports of assigned agencies
- Submit accounts receivable claims and/or invoices for weekly/monthly billing of assigned agencies
- Reconciliation of assigned state or local agencies
- Research and resubmit of billings to assigned agencies
- Review quality assurance of all referrals or updated clients from assigned state or local agencies
- Make outbound & inbound calls, emails to assigned state or local agencies with the purpose of securing correct information regarding new referrals, updated clients, and billings
- Responsible for executing complex billing tasks, mentoring junior staff, and leading cross-functional initiatives
- Reduce payment agency backlog
- Perform in-depth audits of project data to identify and resolve billing discrepancies
- Demonstrate successful performance through accuracy, timeliness, and customer satisfaction metrics
- Utilize advanced Excel functions (e.g., VLOOKUP) and reporting tools in CRM and SharePoint
- Manage complex billing scenarios including denials, rejections, and aging accounts
- Collaborate with Posting teams to resolve discrepancies and support month-end close
- Prepare and submit electronic claims, paper claims, and invoices (CMS-1500, UBs, invoices, and payer portals, etc.)
- Resolve claim rejections timely and resolve claim denials through research, appeals, claim corrections/resubmission, and follow-up with health plans
- Ensure accurate and compliant billing, following specific regulations of multi-state Medicaid and MCO's, Medicare Advantage, and Older Americans Act programs
- Responsible for ensuring aged outstanding balances of assigned payers is kept within department standards
- Participate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials, and aging
- Other tasks as assigned, including but not limited to, assisting with projects that impact collections or write offs
Required Skills and Experience
- High School Diploma or GED
- 2+ years of work-related experience in healthcare related field, ie, healthcare billing institutional and professional claims, patient registration, and/or patient access
- Intermediate level Excel skills
- Strong oral and written communication skills
- Ability to multi-task, set priorities, and pays close attention to detail
- Strong ability to work with team members across multiple departments
- Ability to work unsupervised with strong critical thinking and problem-solving skills
- Experience with Waystar, CRM, D365, and/or electronic health record platforms
- Must have a wired internet connection using an ethernet port. Broadband internet wired to the home is required - Cable Modem/service or Fiber Optic. No Satellite, 4/5G, or DSL circuits
- Must have a quiet workspace that is free from distraction
Preferred Skills and Experience
- Bachelor's degree in healthcare administration, medical administrative assistance, or healthcare finance
- Previous experience with electronic claims, such as electronic 835/837 claim and remit files, Zirmed, and/or secure payer web portals
- AAHAM and/or HFMA certification
- Knowledge of CMS regulation and strong familiarity with healthcare billing standards and compliance
- Experience with Waystar, CRM, D365, and/or electronic health record platforms
Physical Requirements
- Repetitive motions that include the wrists, hands and/or fingers
- Sedentary work that primarily involves sitting, remaining in a stationary position for prolonged periods
- Visual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus
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