Senior Claims Billing Specialist

  • Fayetteville, AR
  • professional

Senior Claims Billing Specialist

Fayetteville, AR

Monday-Friday 8AM-5PM

$17/HR+ DOE

 

The Senior Claims Billing Specialist is responsible for filing current claims through Medicare, private insurance and the four Provider-led Arkansas Shared Savings Entity (PASSE’s). In addition, this important management team member troubleshoots unpaid claims and works with program staff to improve our ability to file clean claims. The incumbent is responsible for identifying critical processes which need to be developed and monitored for training and quality-control purposes. The Senior Claims Billing Specialist is held to all industry specific policies and regulations including HIPAA, State licensing requirements, etc.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

  1. Prepares, enters, and tracks all third party billings for all programs in a timely manner.
  2. Troubleshoots rejected claims to determine cause and then correct for resubmission.
  3. Documents and monitors all appropriate steps to file a clean claim, one that is not rejected.
  4. Works closely with program staff to assist them in maintaining accurate information in the billing system (DeTaso)
  5. Monitors all changes to the billing processes and serves as a subject matter expert for other staff involved in filing claims.
  6. Works closely with the PASSE’s to stay informed and to maintain a positive working relationship.
  7. Makes recommendations to Senior Director of Finance as to better ways to improve the quality and efficiencies in the billing process.
  8. Provides program management and with billing data in an easy to understand form/report.

 

OTHER DUTIES: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Any substantial changes to the job description responsibilities will require a review by the human resources department

 

EDUCATION and/or EXPERIENCE: 

Requires a minimum of a High School Diploma or equivalent and two years of experience preferably working with the Arkansas PASSE organizations and/or Medicaid billing. Certifcation in medical billing is a plus but not required. Experience working with the DeTaso billing program is helpful but not required.

 

NOTE: All newly hired employees will be required to complete a COVID vaccination within 60 days of employment

 

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