Billing Specialist

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.