Utilization And Billing Specialist Jobs

Strong leadership and management experience. Desire to advance career in management.

3+ years’ experience in management role; medical office management experience preferred including billing experience

Solid computer skills—requirement of proficiency in MS applications—Word, Excel, Outlook, EHR system (Valant)

Review of office charges and patient information is verified, including pre-certification and referrals are obtained

Be an active participant in Program Manager meetings (when requested), staff meetings, and QACC

Must possess excellent writing and communication skills.

EMR Experience Preferred - Athenahealth Practice Management System

Accounts Receivable Collections & Management

Ability to effectively present information and respond to questions from groups of managers, patients, and the general public

Maintain and follow strict privacy, confidentiality, and safety protocols. Comply with all government regulations around the following:

Ability to define problems, collect data, establish facts, and draw valid conclusions

Health insurance plan options for you and your dependents

Work environment: PAIC; Position is fully remote

1 year experience in a Healthcare Field, Customer Service, Telemarketing, or Call Center environment (REQUIRED)

Working knowledge of Medical Terminology (REQUIRED)

Requires good written, oral, and telephone communication skills.

Requires knowledge of general office equipment, PCs, and associated software packages.

General knowledge of medical terminology preferred.

Enjoy eligible holidays at home while getting paid with our Paid Holiday plan

Collects and resolves denials of claims posted for ABA services under the direction of ABA Billing Manager.

Communicates to the ABA Billing Manager regarding any claims denied, deemed uncollectible, and outstanding receivables.

Acts as a good steward of Damar and/or client finances.

Minimum of 3 years accounting or finance experince will be accepted in lieu of a degree

Minimum age of 21 depending on program and / or department requirements.

Assist COO with contract management and budget tracking.

Manage company accounting records including accounts receivables, receipts, and customer information.

3+ years of hands-on, work-related billing, invoicing, or accounting experience.

Excellent organizational skills with high attention to detail.

Strong communication skills and ability to effectively collaborate in a team environment.

Experience in government contracting in the A/E industry highly preferred.

Strong organizational and time management skills

2+ years of experience in billing and collections

Previous software industry experience (preferred)

Excellent written and verbal communication skills

Prepare and book journal entries

Assist with the month-end close

Prepare Utilization Management and statistical reports related to all programs for Samaritan PSO meetings

Verify client insurance coverage and benefits

Submit insurance billing information to managed care organizations, monitor payments and denials of payment

Conduct Level 1 audits in accordance with applicable agecy policy and procedure

Maintain Staff Training Log and TnCare required training for staff on Relias. Maintain training documentation on all staff members

Participate in Professional Staff Organization (PSO) meetings