Specialty Billing Clerk

Overview

Scope of Responsibilities: Works under minimal supervision. Responsible for orienting and training new employees.

Job Summary: Assist in billing and cash application of Medicaid/Medicare/DME/Home Infusion claims. Manage open accounts receivable which requires rebilling within timely filing limits, inquiries to various insurance companies, and inquiries to customers. Help with collection efforts of medical copays and Medicare copays from customers.

Responsibilities

Job Duties:

• Manual billing and payment application for secondary insurances, Noble Medical Billing Claims, home infusion claims, and DME claims
• Oversight of the electronic payment application for Medicare
• Help complete any Medicare audits, medical records requests, and appeals and monitor the outcomes.
• Reconcile Medicare, Noble, Aristacare, and Kinney Homecare statements and assist in collection calls.
• Process check requests for customer and insurance company refunds.
• Create accounts and use various applications to move balances for customers with denied charges.
• Assist in the rebilling of Medicaid/Medicare, Aristacare, and Kinney Homecare claims.
• Interact with KPH Employees (Store and Corporate) and various outside agencies.
• Responsible for completing all mandatory and regulatory training programs.
• Perform other duties as assigned.

Qualifications

Educational Requirements:

• Minimum: High School Diploma
• Preferred: AS Degree or Higher in Business Administration or related field

Experience:

• Preferred: 2 years Medicaid, Medicare and medical billing experience
• Preferred: General knowledge of Accounting, Insurance processing and/or Pharmacy Store Operations.

Special Conditions of Employment:

• Initial and continuous exclusion and sanction/disciplinary monitoring
• Drug Test

Compensation:

$17.00 – $18.00 an hour

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education. 

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.

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