<div>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.</div> <div>PTO and benefits available after 30 days of employment. Following training, this will be a hybrid position offering the opportunity to work 3 days in the office and 2 days remotely each week.</div> <div> <strong>Position Responsibilities may include, but not limited to</strong></p> <ul class="posting-requirements plain-list"> <ul> <li>Create billing reports of assigned agencies</li> <li>Submit accounts receivable claims and/or invoices for weekly/monthly billing of assigned agencies</li> <li>Reconciliation of assigned state or local agencies</li> <li>Research and resubmit of billings to assigned agencies</li> <li>Review quality assurance of all referrals or updated clients from assigned state or local agencies</li> <li>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</li> <li>Responsible for executing complex billing tasks, mentoring junior staff, and leading cross-functional initiatives</li> <li>Reduce payment agency backlog </li> <li>Perform in-depth audits of project data to identify and resolve billing discrepancies</li> <li>Demonstrate successful performance through accuracy, timeliness, and customer satisfaction metrics</li> <li>Utilize advanced Excel functions (e.g., VLOOKUP) and reporting tools in CRM and SharePoint</li> <li>Manage complex billing scenarios including denials, rejections, and aging accounts</li> <li>Collaborate with Posting teams to resolve discrepancies and support month-end close</li> <li>Prepare and submit electronic claims, paper claims, and invoices (CMS-1500, UBs, invoices, and payer portals, etc.)</li> <li>Resolve claim rejections timely and resolve claim denials through research, appeals, claim corrections/resubmission, and follow-up with health plans</li> <li>Ensure accurate and compliant billing, following specific regulations of multi-state Medicaid and MCO’s, Medicare Advantage, and Older Americans Act programs</li> <li>Responsible for ensuring aged outstanding balances of assigned payers is kept within department standards</li> <li>Participate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials, and aging</li> <li>Other tasks as assigned, including but not limited to, assisting with projects that impact collections or write offs</li> </ul> </ul> </div> <div> <strong>Required Skills and Experience</strong></p> <ul class="posting-requirements plain-list"> <ul> <li>High School Diploma or GED</li> <li>2+ years of work-related experience in healthcare related field, ie, healthcare billing institutional and professional claims, patient registration, and/or patient access</li> <li>Intermediate level Excel skills</li> <li>Strong oral and written communication skills</li> <li>Ability to multi-task, set priorities, and pays close attention to detail</li> <li>Strong ability to work with team members across multiple departments</li> <li>Ability to work unsupervised with strong critical thinking and problem-solving skills </li> <li>Experience with Waystar, CRM, D365, and/or electronic health record platforms</li> <li>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</li> <li>Must have a quiet workspace that is free from distraction</li> </ul> </ul> </div> <div> <strong>Preferred Skills and Experience</strong></p> <ul class="posting-requirements plain-list"> <ul> <li>Bachelor’s degree in healthcare administration, medical administrative assistance, or healthcare finance</li> <li>Previous experience with electronic claims, such as electronic 835/837 claim and remit files, Zirmed, and/or secure payer web portals</li> <li>AAHAM and/or HFMA certification</li> <li>Knowledge of CMS regulation and strong familiarity with healthcare billing standards and compliance</li> <li>Experience with Waystar, CRM, D365, and/or electronic health record platforms </li> </ul> </ul> </div> <div> <strong>Physical Requirements</strong></p> <ul class="posting-requirements plain-list"> <ul> <li>Repetitive motions that include the wrists, hands and/or fingers</li> <li>Sedentary work that primarily involves sitting, remaining in a stationary position for prolonged periods</li> <li>Visual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus</li> </ul> </ul> </div> <div> <strong>Company Overview</strong></div> <div>Mom’s Meals is a home-delivered meal service providing fully prepared, refrigerated meal solutions direct to homes nationwide for over 25 years. 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.</div> <div> <strong>EEO</strong></div> <div>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.</div>