Billing Specialist

Billing SpecialistThe Billing Specialist is responsible for performing specified financial tasks in support of the day-to-day operations of the Billing/Revenue Cycle Department. We're looking for someone with a strong internal drive to solve problems, drive collections, is a team player, and ensure every claim is handled with care and urgency.PTO and benefits available after 30 days of employment. Following training, this will be a hybrid position offering the opportunity to work 3 days in the office and 2 days remotely each week.Position Responsibilities May Include, But Not Limited To:Create billing reports of assigned agenciesSubmit accounts receivable claims and/or invoices for weekly/monthly billing of assigned agenciesReconciliation of assigned state or local agenciesResearch and resubmit of billings to assigned agenciesReview quality assurance of all referrals or updated clients from assigned state or local agenciesMake outbound & inbound calls, emails to assigned state or local agencies with the purpose of securing correct information regarding new referrals, updated clients, and billingsResponsible for executing complex billing tasks, mentoring junior staff, and leading cross-functional initiativesReduce payment agency backlogPerform in-depth audits of project data to identify and resolve billing discrepanciesDemonstrate successful performance through accuracy, timeliness, and customer satisfaction metricsUtilize advanced Excel functions (e.g., VLOOKUP) and reporting tools in CRM and SharePointManage complex billing scenarios including denials, rejections, and aging accountsCollaborate with posting teams to resolve discrepancies and support month-end closePrepare 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 plansEnsure accurate and compliant billing, following specific regulations of multi-state Medicaid and MCO's, Medicare Advantage, and Older Americans Act programsResponsible for ensuring aged outstanding balances of assigned payers is kept within department standardsParticipate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials, and agingOther tasks as assigned, including but not limited to, assisting with projects that impact collections or write offsRequired Skills and ExperienceHigh School Diploma or GED2+ years of work-related experience in healthcare related field, ie, healthcare billing institutional and professional claims, patient registration, and/or patient accessIntermediate level Excel skillsStrong oral and written communication skillsAbility to multi-task, set priorities, and pays close attention to detailStrong ability to work with team members across multiple departmentsAbility to work unsupervised with strong critical thinking and problem-solving skillsExperience with Waystar, CRM, D365, and/or electronic health record platformsMust 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 circuitsMust have a quiet workspace that is free from distractionPreferred Skills and ExperienceBachelor's degree in healthcare administration, medical administrative assistance, or healthcare financePrevious experience with electronic claims, such as electronic 835/837 claim and remit files, Zirmed, and/or secure payer web portalsAAHAM and/or HFMA certificationKnowledge of CMS regulation and strong familiarity with healthcare billing standards and complianceExperience with Waystar, CRM, D365, and/or electronic health record platformsPhysical RequirementsRepetitive motions that include the wrists, hands and/or fingersSedentary work that primarily involves sitting, remaining in a stationary position for prolonged periodsVisual perception to perform job including peripheral vision, depth perception, and the ability to adjust focusCompany OverviewMom's Meals is a home-delivered meal service providing fully prepared, refrigerated meal solutions direct to homes nationwide for over 25 years. We provide seniors, patients recovering post-discharge and those managing a chronic condition with tailored nutrition solutions to manage their specific needs. If you are passionate about the well-being of others and have a strong sense of community, Mom's Meals could be the place for you! We are a family operated business looking for fun, compassionate, and friendly people who want to make a difference in the lives of others.EEOMom's Meals complies with all applicable federal and state non-discrimination laws. All qualified applicants shall receive consideration for employment without regards to race, religion, national origin, ancestry, color, gender, age, disability, sexual orientation or military status.