Billing Specialist - CareRing Health, LLC

Job Summary: CareRing Health Is seeking a Billing Specialist who is outcome oriented, has strong prioritization skills, and has a knack for numbers. Prefer an associate’s degree in accounting or related field and experience with collections, invoicing, and/or accounts receivable.

Generate and submit billing for all medical visits and ensure collection and posting of payments and adjustments, including the following:

1. Ensure successful entry of all medical visits into the practice management EHR Medical Billing System.
2. Reconcile all charges and data entered into the system assuring 100% data entry accuracy; assure correct provider, medical service, and coding are billed.
3. Collect accounts receivable, including the following revenue sources: States Medicaid and MCO programs, Medicare, Medicare Advantage, Government and Commercial Insurance and all other fee for service revenue, including patient responsibility.
4. Appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims for re-submission on a daily basis as necessary.
5. Request and follow up on additional information as needed for auditing of claims and all revenue reports including eligibility, benefits and provider information.
6. Submit claims to insurance companies on a daily basis as necessary.
7. File all correspondence into patient’s chart.
8. Negotiate settlements for payments with insurance companies and courts with assistance of Billing Manager.
9. Audit submitted claims daily to respond to rejections, denials, and short-pays to ensure timely collections.
10. Review and post Remittance Advice to EHR Medical Billing System.
11. Perform Adjustments within EHR Medical Billing System according to department guidance.
12. Follow billing policy guidelines and documented procedures.
13. Consistently demonstrate and uphold CareRing’s principle of providing quality health and human services to the medically underserved and low-income populations in a culturally sensitive manner.
14. Other duties as assigned.

Education and Experience:

• Associate’s degree preferred
• Experience billing Medicaid, Medicare, and commercial health plans for medical services preferred
• Previous medical office experience preferred
• University/college degree is an asset

Skills and Abilities:

• Accounting experience preferred but not required
• 1 year experience with collections, invoicing and/or accounts receivable
• Strong attention to detail with a dedication to accuracy
• Ability to analyze large sets of data
• Experience working with an EHR medical billing system.
• High degree of familiarity with AR functions
• Excellent verbal and written communication skills

Physical Requirements:

• Can successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards