Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 11 states.

We are seeking a Billing Specialist in Newtown, PA to be responsible for ensuring Community Options, Inc., is following all aspects and levels of federal, state, and local laws, regulations, and standards within the realm of billing and accounts receivable.

The schedule is Monday through Friday from 9:00 AM - 5:00 PM. A competitive benefits package is offered after 90 days of employment.

Requirements:

• High School Diploma or equivalent and a minimum of two years accounts receivable/billing experience required.
• Able to work in a fast-paced work environment.
• Ability to effectively communicate externally as well as internally with all levels of the organization.
• Focus on customer needs: anticipate, understand, and respond appropriately to the needs of internal and external customers to meet or exceed their expectations within the organizational parameters.
• Ability to handle confidential information in compliance with HIPAA.
• Ability to handle sensitive information in a calm and professional manner.
• Ability to lead change and innovation.
• Ability to prioritize, manage multiple tasks daily, and manage time efficiently.
• Public relations ability, interpersonal skills, and professional telephone manner.
• Excellent problem-solving skills.
• Must be technically proficient in Excel and able to easily learn other support systems.
• Knowledge of generally accepted accounting principles a plus.
• Detail oriented; strong analytic skills.
• Knowledge of NetSuite, Therap, and/or Millan computer systems a plus

Responsibilities:

• Resolves a high volume of disputed claims by gathering, verifying, and providing additional information, while following-up on claims.
• Monitors collections of receivables.
• Monitor and resolve AR report receivables over 60 days old.
• Monitor, process, and resolve appeals of receivables.
• Monitor timely filing deadlines for each designated payer and ensure processing is completed in that timeframe.
• Correct claims when errors occur (ex: ICD-10, Authorization number, etc).
• Collaborate with regional office(s), intake, and revenue reconciliation department to ensure collection and resolve disputes throughout the lives of claims.
• Maintains, develops, and updates essential billing records.
• Assists in preparation of reports required by regulatory agencies as directed by the Billing Director.
• Gather Medicaid billing information by reviewing consumer records.
• Resolves discrepancies by examining and evaluating data, identifying corrective steps.
• Examine, process, calculate and pay claims ensuring filings, documentation, and reports, etc. are accurate and complete.
• Enter codes and verify data for computer processing.
• Locate and notify designated payers of delinquent accounts by mail, telephone, or email to solicit payment.
• Answer designated payer questions regarding problems with their accounts.
• Record information about financial status of designated payers and status of collection efforts.
• Sort and file correspondence and perform miscellaneous clerical duties, such as answering correspondence and writing reports.
• Performs all other duties as required and assigned by Billing Director or other management.
• Follows Community Options, Inc. policies and procedures.
• Follows federal, state, and local laws and regulations pertaining to residential, day habilitation and other in-scope services.

Please feel free to send your most updated resume to: Resumes-National@comop.org

Community Options is an Equal Opportunity Employer M/F/D/V