Medical Claims Billing Specialist

About Our Client

The company is a nationwide provider of personal and financial services supporting individuals who depend on home and community-based care. It empowers thousands across the country to select and employ their own caregivers or personal assistants, fostering an environment based on trust, independence, and a collaborative team culture.

Position Overview

The Medical Claims Billing Specialist is tasked with accurate preparation and processing of billing data and claims for partner agencies. This role ensures adherence to contractual obligations and audit standards while supporting the organization's financial functions and collaborating to enhance service delivery. The position plays a critical part in facilitating efficient billing that contributes to client care.

Key Responsibilities

• Prepare billing information for submission to payers
• Ensure billing and encounter data comply with contract terms
• Send invoices to partnered agencies
• Manage payment application and collection of outstanding claims
• Conduct reconciliations and apply payments within general ledger systems
• Maintain accurate records by entering data into databases
• Work collaboratively with staff to improve services
• Adhere to compliance standards to support audits
• Protect confidentiality of client data
• Identify and suggest improvements in billing processes
• Support organizational mission and values
• Carry out any additional duties as needed

Qualifications and Requirements

• High school diploma or GED required; associate degree preferred
• At least two years of relevant work experience
• Strong skills in Microsoft Office, especially Excel
• Understanding of administrative and clerical processes
• Effective written and verbal communication abilities
• Skillful in organizing workload to meet deadlines
• Attention to detail with basic mathematical competency
• Capability to work well within a team environment

Compensation and Additional Information

The salary and benefits for this position will be decided based on the candidate’s experience and skill set. The employer is committed to equal employment opportunity and values a diverse and inclusive workplace. All qualified individuals will be considered without discrimination.

Note

The staffing agency connecting applicants to this role is not the Employer of Record. Applicants must complete the application process directly with the hiring organization.