Billing Assistant

Billing Assistant will:

· Submit claims using multi-state Medicaid billing systems. Ensure accurate and timely submission of weekly billing for all entities

· Performs Medicaid Waiver eligibility checks

· Processes and manages Medicaid claims, audits, and appeals ensuring minimum denial rates

· Reviews healthcare accounts receivable to maximize collections including reviewing and resubmitting previously denied claims for coverage issues, same and similar, missing/invalid submission information, and miscellaneous denials

· Identifies over-payments and creates refund requests

· Identifies accounts receivable balances that are non-collectable

· Responsible for service requests associated with Medicaid, audits, appeals and insurance information and others as assigned, with appropriate attention to detail to meet response time frames

· May attend meetings or provide direct care to LEL Individuals served

· Ensures LEL is in compliance with all federal and state billing rules and regulations

· Ensures all medical billing records are maintained according to HIPAA guidelines

· Demonstrates positive customer service and communication skills with Individuals, staff, and all other company contacts

· Participates in LEL’s Good Life program by providing direct care to an LEL Individual, goal is eight hours a month

· Other duties as assigned

Qualifications:

· Computer experience is essential, including, but not limited to: Microsoft office applications and practice management software

· Familiarity with state Medicaid portals, QuickBooks software’s and 10-key

· Experience with set up and management of Electronic Remittance Advices and Explanation of Benefits documentation

• Familiarity with medical terminology
• Proven experience with Medicaid Waiver billing and CMS-1500 claims submissions,
• Excellent customer service skills
• Strong written and verbal communication skills
• Ability to manage relationships with various Insurance payers and Managers of Program Services
• Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement
• Responsible use of confidential information
• Perform to company standards of compliance with policies and procedures
• Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients

Requirements:

· Certification in Medical Billing & Coding preferred

· Must be able to work between 8:00am - 5:00pm

· Proven experience as Billing Assistant, Claims Processor or similar title

· Adherence to laws and best practices with regards to dealing with customers and data

· Comfortable dealing with numbers and the processing of financial information

· Excellent knowledge of MS Office (particularly Excel)

· Excellent communication skills

· Results-driven and patient

· High degree of attention to detail and trustworthiness

· High School Diploma/GED

Physical Requirements:
The employee must:

A. Regularly:

1. Speak;

2. Hear (both in person and using a telephone);

3. Sit;

4. Use hands to manipulate, handle or feel;

5. Reach with hands and arms

6. Lift and/or move up to five (5) pounds

B. Frequently:

1. Stand, walk, stoop or kneel

2. Lift and/or move up to ten (10) pounds

C. Occasionally:

1. Operate a non-commercial automobile for distances up to 500 miles;

2. Climb and/or straddle

3. Lift and/or move up to twenty (*20*)pounds

Job Type: Full-time

Pay: From $14.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location: One location