The Billing Specialist is responsible for performing specified financial tasks in support of the day-to-day operations of the Billing/Revenue Cycle Department. We’re looking for someone with a strong internal drive to solve problems, drive collections, is a team player, and ensure every claim is handled with care and urgency.
Following training, this will be a hybrid position offering the opportunity to work 3 days in the office and 2 days remotely each week.
Position Responsibilities may include, but not limited to
Create billing reports of assigned agencies
Submit accounts receivable claims and/or invoices for weekly/monthly billing of assigned agencies
Reconciliation of assigned state or local agencies
Research and resubmit of billings to assigned agencies
Review quality assurance of all referrals or updated clients from assigned state or local agencies
Make outbound & inbound calls, emails to assigned state or local agencies with the purpose of securing correct information regarding new referrals, updated clients, and billings
Responsible for executing complex billing tasks, mentoring junior staff, and leading cross-functional initiatives
Reduce payment agency backlog
Perform in-depth audits of project data to identify and resolve billing discrepancies
Demonstrate successful performance through accuracy, timeliness, and customer satisfaction metrics
Utilize advanced Excel functions (e.g., VLOOKUP) and reporting tools in CRM and SharePoint
Manage complex billing scenarios including denials, rejections, and aging accounts
Collaborate with Posting teams to resolve discrepancies and support month-end close
Prepare and submit electronic claims, paper claims, and invoices (CMS-1500, UBs, invoices, and payer portals, etc.)
Resolve claim rejections timely and resolve claim denials through research, appeals, claim corrections/resubmission, and follow-up with health plans
Ensure accurate and compliant billing, following specific regulations of multi-state Medicaid and MCO's, Medicare Advantage, and Older Americans Act programs
Responsible for ensuring aged outstanding balances of assigned payers is kept within department standards
Participate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials, and aging
Other tasks as assigned, including but not limited to, assisting with projects that impact collections or write offs
Required Skills and Experience
High School Diploma or GED
2+ years of work-related experience in healthcare related field, ie, healthcare billing institutional and professional claims, patient registration, and/or patient access
Intermediate level Excel skills
Strong oral and written communication skills
Ability to multi-task, set priorities, and pays close attention to detail
Strong ability to work with team members across multiple departments
Ability to work unsupervised with strong critical thinking and problem-solving skills
Experience with Waystar, CRM, D365, and/or electronic health record platforms
Must have a wired internet connection using an ethernet port. Broadband internet wired to the home is required - Cable Modem/service or Fiber Optic. No Satellite, 4/5G, or DSL circuits
Must have a quiet workspace that is free from distraction
Preferred Skills and Experience
Bachelor's degree in healthcare administration, medical administrative assistance, or healthcare finance
Previous experience with electronic claims, such as electronic 835/837 claim and remit files, Zirmed, and/or secure payer web portals
AAHAM and/or HFMA certification
Knowledge of CMS regulation and strong familiarity with healthcare billing standards and compliance
Experience with Waystar, CRM, D365, and/or electronic health record platforms
Physical Requirements
Repetitive motions that include the wrists, hands and/or fingers
Sedentary work that primarily involves sitting, remaining in a stationary position for prolonged periods
Visual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus
Company Overview
Mom’s Meals is a home-delivered meal service providing fully prepared, refrigerated meal solutions direct to homes nationwide since 1999. We provide seniors, patients recovering post-discharge and those managing a chronic condition with tailored nutrition solutions to manage their specific needs. If you are passionate about the well-being of others and have a strong sense of community, Mom’s Meals could be the place for you! We are a family operated business looking for fun, compassionate, and friendly people who want to make a difference in the lives of others.
EEO
Mom’s Meals complies with all applicable federal and state non-discrimination laws. All qualified applicants shall receive consideration for employment without regards to race, religion, national origin, ancestry, color, gender, age, disability, sexual orientation or military status.
