Billing Specialist
Location: Milford, CT
Purpose/Function of the Program:
The Finance Department is responsible for all financial record keeping and reporting for the agency and being a resource within the agency to facilitate business operations.
POSITION OVERVIEW:
The Billing Specialist is responsible for the submission and collection of all per-diem claims generated by the agency. Particularly medicaid, commercial insurance, and per-diem DCF billing.
Essential Functions and Responsibilities:
- Facilitate the flow of client intake procedures, including insurance eligibility checks, obtaining and monitoring client authorizations, entering demographic and insurance information into the Carelogic EHR system
- Processing third party claims for both medicaid and commercial insurance
- Resolution of claim denials from third party insurance
- Monthly invoice generation for school, Therapeutic Foster Care and Safe Haven
- Recording of accounts receivable payments into the Carelogic EHR system
- Daily monitoring of failed claims and failed activities in the Carelogic EHR system
- Communicate/train new clinical staff on billing procedures and requirements
- Other duties as assigned
Essential Qualifications/Skills:
- High School Diploma
- Minimum 4 years experience working with non-profit medicaid billing
- Computer literacy including proficiency in Microsoft Excel
- Strong Organizational Skills
Preferred Qualifications:
- Experience with Carelogic EHR system
Supervisory Responsibilities:
- None
PHYSICAL DEMANDS:
- Ability to sit for extended periods of time
WORKING CONDITIONS AND ENVIRONMENT:
- Standard office conditions apply
We are an Equal Opportunity Employer.