Billing Specialist

Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states. We are seeking a Billing Specialist in Princeton, NJ to be responsible for ensuring Community Options, Inc., is following all aspects and levels of federal, state, and local laws, regulations, and standards within the realm of billing and accounts receivable. The Billing Specialist is responsible for ensuring Community Options, Inc is in compliance with all aspects and levels of federal, state, and local laws, regulations, and standards within the realm of billing and accounts receivable. This person will collect Medicaid reimbursements by resolving discrepancies, adjusting claims, preparing reports, monitoring collections, and providing excellent customer service to internal staff and designated payers.This is not a remote position.ResponsibilitiesProcess initial claims from Therap or other applicable billing platforms by the process of examining, calculating, and or adjusting claimsMaintain billing platform to ensure accuracy of financials and submitted billingSubmit claims to payers manually or electronicallyResolve a high volume of disputed claims by gathering, verifying, and providing additional information, following up on claimsMonitor collections of receivablesMonitor and resolve AR report receivables over 90 days oldMonitor, process, and resolve appeals of receivablesMonitor filing deadlines for each designated payer and ensure processing is completed in that timeframeCorrect claims when errors occur (ex: ICD-10, Authorization number, etc.)Collaborate with branch office(s), claims processors, and billing department to ensure collection and resolve disputes throughout the lives of claimsMaintain, develop, and update essential billing recordsAssist in preparation of reports required by regulatory agencies as directed by the medical billing supervisorGather both private and Medicaid billing information by reviewing consumer recordsResolve discrepancies by examining and evaluating data, identifying corrective stepsEnter codes and verify data for computer processingLocate and notify designated payers of delinquent accounts by mail, telephone, email, orpersonal visits to solicit paymentAnswer designated payer questions regarding problems with their accountsRecord information about financial status of designated payers and status of collection effortsPerform all other duties as required and assigned by administrator and/or supervisorFollow Community Option's policies and proceduresFollows federal, state, local laws, and regulations pertaining to home care servicesCreate customer accounts and invoices in NetSuiteEmployees must cooperate with the licensee and department staff in any inspection, inquiry or investigationAdditional tasks and responsibilities may be assignedMinimum RequirementsHigh School Diploma or equivalentMinimum RequirementsMinimum of two years accounts receivable/billing experienceExcellent verbal, written, interpersonal, and communication skillsKnowledge of general accounting principlesProficiency in Microsoft Word and excelExcellent oral and written communication skillsState training as requiredCommunity Options orientationValid driver's license with satisfactory driving recordWorking ConditionsAbility to work in a fast-paced environment, handling multiple prioritiesOccasional overtime is required throughout the yearMinimal hazards, general office working conditionsWhy Community Options? Competitive Insurance Benefits (Medical, Dental, Vision)Paid Holidays—Including a Birthday HolidayGenerous PTOEmployee Incentive & Discount Programs403b Retirement PlanIncredible career growth opportunitiesIf interested, please click Apply Now or Send Resumes to: Jason.Iadisernia@comop.orgCommunity Options is an Equal Opportunity Employer M/F/D/VEqual Opportunity EmployerThis employer is required to notify all applicants of their rights pursuant to federal employment laws.