Billing Specialist Job Description

We are hiring an experienced Billing Specialist to help us keep growing. If you're dedicated and ambitious, Visiting Angles is an excellent place to work.

Qualifications for Billing Specialist-

Primary responsibilities: Billing/Invoicing, accounts payable and receivable, maintain MCO authorizations, caregiver mileage maintenance, claims filing, claims resolution, set up new clients in WellSky, (our Billing & Scheduling software). Sandata or EVV experience is a huge plus!

Billing/Invoicing/Claims Remittance:

Working knowledge of Excel is necessary, (WellSky software is a big plus).

Work closely with the scheduler when reviewing the weekly billing before invoicing.

Review EVV mandated visits in the Sandata portal. All EVV mandated visits must be verified in Sandata and match the number of billable hours for the appropriate MCO clients. Billable hours should not exceed the verified visit hours in Sandata. On occasion, exceptions apply, but this must be worked out before billing and Sandata ultimately must agree with the visit hours.

Review weekly billing for all clients before invoicing.

Generate bills and invoices specific to customer accounts.

Deliver invoices to clients via digital and traditional mail services.

Keep accurate billing records in excel for the MCO clients. This helps when receiving and recording payments.

For MCO clients, care recipients’ authorizations must be in place to bill the MCO. Constant review of billable units must be compared to the authorized number of units before invoicing.

MCO billing and filing claims are necessary. You will need to be or become proficient with the My Choice and various IRIS claims procedures.

Keep accurate records of preferred invoicing methods for private pay clients and maintain a list of MCO care recipients and which MCO program they are enrolled in.

MCO claims must be filed on Tuesdays allowing for any changes in the billable number of units to be transferred to the appropriate MCO from Sandata before submitting claims.

Wellsky “Parent Payers” fields must be maintained for each MCO we are a provider for and which MCO has EVV mandated service codes. Familiarity with Medicaid service codes and EVV mandated visits are a plus.

Accounts payables and receivables:

Receive checks and record payments in Wellsky.

Follow-up with clients who are overdue on their bills.

Constantly maintain accurate financial account records.

Reconcile all payment with accounts.

Process all payment using various pay services.

Utilize accounting software to identify outstanding accounts.

Work with the accountant when making changes to accounts.

Record deposit payments and notify accountant of new clients.

When a client discontinues services, we have to notify the accountant of the change and whether or not we are paying any outstanding invoices with the deposit. She must also be told who the deposit check should be made payable to and where to send the check.

Maintain MCO authorizations:

MCO authorizations must be obtained from the Care/Case Managers for each MCO care recipient.

Authorizations must be input in the appropriate care recipient’s billing page.

Authorization expiration dates must be monitored and updated so that any authorization(s) for the MCO clients are always active.

Claims Resolution:

Review each EOB for any payment inconsistencies or errors.

Dispute and resolve any MCO claim denials.

Collaborate with care recipients, third party institutions and other team members to resolve billing inconsistencies and errors.

Inform care recipients of any missed or upcoming payments.

Miscellaneous:

Maintain caregivers’ mileage in payroll and mileage log for specific instances of travel.

Review payroll categories and make sure they match the billing categories.

Rate Schedules must be updated.

Holiday dates must be updated annually to reflect the proper billing and O/T.

Job Types: Full-time, Part-time

Pay: $20.00 - $24.00 per hour

Expected hours: 40 per week

Benefits:

Dental insurance
Flexible schedule
Flexible spending account
Paid time off
Vision insurance

Schedule:

8 hour shift
Day shift

Work setting:

Office

Work Location: In person

Visiting Angels of Madison, WI

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Billing Specialist