Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

JOB SUMMARY

This position is responsible for ensuring timely and accurate payment for services rendered, managing

accounts receivable, verifying insurance coverage, and engaging in effective communication with payers,

clients, and other stakeholders.

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

• Monitors and manages accounts receivable, ensuring the timely collection of payments for

services provided.

• Reviews and analyzes outstanding accounts, identifying delinquent or unpaid invoices, and taking

appropriate actions to resolve outstanding balances.

• Utilizes electronic billing systems and software to track and update payment information, maintain

accurate billing records, and generate reports as needed.

• Collaborates with the billing team to ensure accurate and complete claim submissions, resolving

any billing discrepancies or errors.

• Verifies insurance coverage for clients, confirming eligibility, benefits, and any pre-authorization

requirements.

• Maintains updated records of insurance information, ensuring accuracy and completeness.

• Supports the Revenue Cycle Management team with all efforts related to Revenue Cycle and

billing, collections, and EVV.

• Adapts to changes in work responsibilities as required with changing and shifting priorities and

focus.

• Monitors rejections from portals to ensure billing reprocessing is identified timely, including EVV

where necessary.

• Works as a liaison between the internal billing team, Central Operations and authorizations to

correct errors and verify service.

• Provides system updates, weekly audits and data entry support to correct errors so that the

completed visits are eligible for billing.

• Monitors AR related to service authorizations to ensure payment.

• Troubleshoots any problems, concerns, difficulties with the system and communicates to

Supervisor or Manager.

• Follows SOX compliance within systems as outlined.

• Watches for potential fraud to reduce incorrect billing.

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• Audits and validates all billing functions.

• Updates and cross checks all billing procedure codes in the system.

• Maintains and grows skillset in various tools utilized for billing.

• Provides subject matter expertise in all systems utilized in the Revenue Cycle to aid in learning

and process improvement.

• Responds to billing inquiries from clients, insurance companies, and other relevant parties,

addressing concerns, providing explanations, and resolving disputes in a timely manner.

• Investigates and resolves billing discrepancies or claim denials, working closely with payers and

the billing team to facilitate appropriate reimbursement.

• Prepares regular reports on accounts receivable status, aging analysis, and collection efforts,

presenting findings to the management team.

• Maintains organized and accurate documentation of all collection activities, including

communication logs, payment arrangements, and collections correspondence.

• Stays up to date with relevant insurance regulations, billing guidelines, and industry changes,

ensuring compliance with all applicable laws and regulations.

• Adheres to privacy and confidentiality policies when handling sensitive financial and personal

information.

• Establishes and maintains positive and professional relationships with clients, insurance

companies, and other stakeholders involved in the payment process.

• Communicates with clients regarding their financial responsibilities, payment options, and any

outstanding balances.

• Participate in other projects or duties as assigned.

Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received.  We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings. 

We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

• Medical, Dental, and Vision insurance
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post --Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Tuition Reimbursement
• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

• EEO is The Law - click here for more information
• Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
• We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at hr.recruiting@modivcare.com