Medicaid Billing Specialist
- Location: Jonesboro, AR
- Type: Full-Time
- Specific Duties: Prepare and transmit billing claims and review payments for accuracy and completeness.
Are you someone that enjoys a fast-paced, flexible, and professional work environment? Do you have in-depth knowledge of Medicaid billing?
If so, Cynergy Rehab Group is the right place for you!
Cynergy Rehab Group is Northeast Arkansas' premier pediatric therapy provider. Our unique approach has set new standards for school-based therapy and continues to fuel our steady growth.
We're looking for an experienced, efficient, and detail-oriented Medicaid Biller to join our team! You'll be a part of the entire patient journey from checking eligibility, to gathering prescriptions, to researching denied claims.
Main Responsibilities include:
- Patient demographic data entry
- Obtaining referrals and pre-authorizations
- Checking eligibility and benefits verification
- Reviewing patient bills for accuracy and completeness
- Preparing, reviewing, and transmitting claims using billing software
- Following up on unpaid claims in a timely manner
- Checking payments for accuracy and compliance
- Calling insurance companies regarding discrepancies in payments Researching and appealing denied claims
- Answering patient or insurance telephone inquiries
Desired Qualifications and Qualities:
- Knowledge of insurance guidelines, specifically Arkansas Medicaid
- Competent use of computer systems and software
- Familiarity with CPT and ICD-10 Coding
- Effective communication abilities for phone contacts with insurance payers to resolve issues
- Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
- Maintaining patient confidentiality as per HIPAA standards
Job Type: Full Time
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- Monday to Friday
- Medical billing: 2 years (Required)
- One Location