MPI does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, marital status, or based on an individual’s status in any group or class protected by applicable federal, state or local law. MPI encourages applications from minorities, women, the disabled, protected veterans and all other qualified applicants.
Summary
Our client – a growing non profit organization based in Hackensack, NJ – are looking for a Medicaid Biller to join the team. This is a temp to perm opportunity and is fully remote.
Client Details
A growing non profit organization.
Description
The role will involve:
Oversees and processes Medicaid and Line Item Contract Billing
Supervise billing staff and provide support/training to current and new staff members.
Post monthly program revenues
Produce monthly aging reports and follow through on all denied claims, in process claims or otherwise outstanding claims, remittance advice etc.
Improve collection rate of all aged items
Update billing manual and policy
Work with program managers and funders on all billing related issues
Create and send claims in the Therap system weekly
Create/update Service Authorizations (including SDRs) and Claim Templates in the Therap system
Cross reference all billing documents with the IDF in Therap (make corrections as needed/suggest corrections as needed)
In conjunction with the billing team correct Service Authorization and documents as needed
Monitor and update team on expiring Authorizations
Keep current on all Therap modules in respect to billing, train staff as needed up and down the supervisory chain
Complete billing related to recovery as needed (i.e.: back-billing)
Maintain relationship with Therap billing team, Support Coordinators, Medicaid and DDD IT team members as needed to resolve claim issues
Routinely monitor eligibility
Track service recipient count, placement and disruption of all service recipients
Analyze billing and service recipient count, placement and disruption of all service recipients in CFS Care
Ensure most up to date documents are stored properly in Therap (ISP, SDR, and PCPT updates)
Update and monitor spreadsheets related to claims, aging, etc. as required
Routinely cross reference work with admins and or finance department and the billing team
Assist in providing billing and expense information for all audits
Profile
The successful candidate will:
High School Diploma equivalent required.
Knowledge of Medicaid Billing.
2- 3+ years of medical billing and claims resolution.
Strong relationship with management and the ability to build relationships.
Strong writing and communication skills.
Strong organizational skills, and ability to prioritize multiple tasks in a fast-paced environment.
Job Offer
A competitive hourly rate and benefits package
Posted on :
2021-07-26T07:41:22Z
Job Description Account Executive (California and Oregon Territory)About UseLuma is the premier provider of live, online therapy services (also known...
Apply For This JobJob Description Summary and Essential Duties: The Account Executive is responsible to maximize sales growth profitably. To accomplish this, (s)he...
Apply For This JobJob Description About HUB In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the...
Apply For This JobJob Description The Account Executive is responsible for developing, maintaining, and executing sales strategies for the Commercial and Industrial lines...
Apply For This JobJob Description Key Account ManagerPurpose of Position To manage the commercial relationship with existing large and multi-site strategic clients. Proactively...
Apply For This JobJob Description Position Overview Successful State Farm Agent is seeking a qualified professional to join their winning team for the...
Apply For This Job