COMCARE Billing Specialist - COMCARE
Sedgwick County, Wichita, KS, United States
Department:
COMCARE
Pay: $18.79 per hour.
Work Schedule:
Monday-Friday, 8:00am-5:00pm
Sedgwick County offers a comprehensive benefits package for full-time employees that includes health coverages, paid leave, regular compensation reviews, retirement plans, and professional development opportunities. For more detailed information, please visit our benefits page at SCBenefits.
Responsible for tasks related to revenue collection of COMCARE services billed to various payor sources to ensure we are maximizing revenues. Duties include insurance updates, processing recoupment requests with various payors and follow‑up on accounts receivables.
Regular, reliable, and non‑disruptive attendance is an essential job duty, as is the ability to create and maintain collegial, harmonious working relationships with others. Employee must be able to complete complex tasks by applying CCBHC practices, standard office policies, authorized instructions, and past precedents to achieve a desired outcome. Employee must quickly recognize emergency or sensitive situations and take appropriate action. Critical decision making and the ability to think through the consequences of a decision are essential in this position.
Process payor recoupments
Contact payors regarding compliance recoupments
Submit recoupment requests for various payors
Follow up on recoupments to ensure processing is done timely
Update /Correct billing transaction on patient account
Processing Accounts Receivable transactions
Monitor status of aged accounts with various payors
Research outstanding claims and make any corrections necessary so that claims can be processed correctly
Verify accuracy of denial and payment discrepancies
Communicate with payor customer service representatives to resolve claim issues
Assist working electronic claim errors and rejections; making corrections and resubmitting claims as needed
Process insurance request for information
Work monthly Patient Balance reports
Assist with auditing accounts for accuracy prior to submission to Kansas Setoff
Post payments for assigned payers.
Work monthly eligibility reports
Manage Waiver client accounts
Process SED (Severely and Emotionally Disturbed) Waiver eligibility forms (3160/3161) as received
Verify coverage accuracy and retrobill applicable dates of service to updated payor
Communicate with program staff regarding any insurance coverage issues
When notified of client Waiver authorization status, verify all dates of service are covered and ensure transactions are processed correctly
Verify Waiver authorizations and retrobill affected charges
Prepare and submit monthly waiver assessment invoices; enter assessment services and guarantor information into electronic medical record
Minimum Qualifications: One (1) year of office or administrative support. High School Diploma or equivalent. Must pass pre‑employment testing of Excel 70% to be completed after interview. Meet the specifications as outlined in the CMHC/CCBHC licensing standards and pass KBI, DCF child abuse check, DCF adult abuse registry, KDADS Nurse Aide and Criminal Record check, National Sex Offender Registry check, and motor vehicle screens. Must complete orientations provided by Sedgwick County and COMCARE.
Preferred Qualifications: Coursework in HealthCare billing. One (1) year experience in healthcare billing or related field.
Applicants have rights under Federal Employment Laws. Please find more information under the following link. Apply for a Job | Sedgwick County, Kansas
#J-18808-Ljbffr
COMCARE
Pay: $18.79 per hour.
Work Schedule:
Monday-Friday, 8:00am-5:00pm
Sedgwick County offers a comprehensive benefits package for full-time employees that includes health coverages, paid leave, regular compensation reviews, retirement plans, and professional development opportunities. For more detailed information, please visit our benefits page at SCBenefits.
Responsible for tasks related to revenue collection of COMCARE services billed to various payor sources to ensure we are maximizing revenues. Duties include insurance updates, processing recoupment requests with various payors and follow‑up on accounts receivables.
Regular, reliable, and non‑disruptive attendance is an essential job duty, as is the ability to create and maintain collegial, harmonious working relationships with others. Employee must be able to complete complex tasks by applying CCBHC practices, standard office policies, authorized instructions, and past precedents to achieve a desired outcome. Employee must quickly recognize emergency or sensitive situations and take appropriate action. Critical decision making and the ability to think through the consequences of a decision are essential in this position.
Process payor recoupments
Contact payors regarding compliance recoupments
Submit recoupment requests for various payors
Follow up on recoupments to ensure processing is done timely
Update /Correct billing transaction on patient account
Processing Accounts Receivable transactions
Monitor status of aged accounts with various payors
Research outstanding claims and make any corrections necessary so that claims can be processed correctly
Verify accuracy of denial and payment discrepancies
Communicate with payor customer service representatives to resolve claim issues
Assist working electronic claim errors and rejections; making corrections and resubmitting claims as needed
Process insurance request for information
Work monthly Patient Balance reports
Assist with auditing accounts for accuracy prior to submission to Kansas Setoff
Post payments for assigned payers.
Work monthly eligibility reports
Manage Waiver client accounts
Process SED (Severely and Emotionally Disturbed) Waiver eligibility forms (3160/3161) as received
Verify coverage accuracy and retrobill applicable dates of service to updated payor
Communicate with program staff regarding any insurance coverage issues
When notified of client Waiver authorization status, verify all dates of service are covered and ensure transactions are processed correctly
Verify Waiver authorizations and retrobill affected charges
Prepare and submit monthly waiver assessment invoices; enter assessment services and guarantor information into electronic medical record
Minimum Qualifications: One (1) year of office or administrative support. High School Diploma or equivalent. Must pass pre‑employment testing of Excel 70% to be completed after interview. Meet the specifications as outlined in the CMHC/CCBHC licensing standards and pass KBI, DCF child abuse check, DCF adult abuse registry, KDADS Nurse Aide and Criminal Record check, National Sex Offender Registry check, and motor vehicle screens. Must complete orientations provided by Sedgwick County and COMCARE.
Preferred Qualifications: Coursework in HealthCare billing. One (1) year experience in healthcare billing or related field.
Applicants have rights under Federal Employment Laws. Please find more information under the following link. Apply for a Job | Sedgwick County, Kansas
#J-18808-Ljbffr