Billing Specialist

communityoptions; Princeton (NJ); On-site; USD 48,000 - 52,000; Full time

Benefits offered by this job

Insurance benefits

Paid holidays

Generous PTO

403b retirement plan

Career growth

Job summary

Community Options, Inc. in Princeton, NJ is seeking a Billing Specialist to ensure compliance with federal, state, and local laws while collecting Medicaid reimbursements, resolving discrepancies, and maintaining accurate billing records.

This onsite role requires a high school diploma, at least two years of AR/billing experience, and proficiency in Word and Excel; starting pay is $24 per hour, with opportunities for growth within a national nonprofit.

Qualifications

• High school diploma or equivalent.
• Minimum of two years accounts receivable/billing experience.
• Valid driver's license with satisfactory driving record.
• Excellent verbal, written, interpersonal, and communication skills.
• Knowledge of general accounting principles.
• Proficiency in Microsoft Word and Excel.
• Employment is contingent upon background checks and drug testing.

Responsibilities

• Process initial claims from billing platforms by examining, calculating or adjusting claims.
• Maintain billing platform to ensure accuracy of financials and submissions.
• Resolve disputed claims by gathering information and following up timely.
• Monitor filing deadlines for designated payers and ensure timely processing.
• Assist in preparing reports for regulatory agencies as directed by supervisor.
• Gather billing information from consumer records for Medicaid and private payers.
• Enter codes and verify data for computer processing.
• Notify payers of delinquent accounts by mail, phone, email or visits to solicit payment.
• Create customer accounts and invoices in NetSuite.
• Cooperate with licensing and department staff during inspections.

Skills

Accounts receivable

Billing

Interpersonal skills

Communication skills

Microsoft Word

Excel

Attention to detail

Education

High school diploma or equivalent

Tools

NetSuite

Therap EMR

Job description

Community Options, Inc. is a national non‑profit agency providing services to individuals with disabilities in 12 states.

We are actively seeking aBilling Specialist in Princeton, NJ. The Billing Specialist is responsible for ensuring compliance with all aspects and levels of federal, state, and local laws, regulations, and standards. You will collect Medicaid reimbursements by resolving discrepancies, adjusting claims, preparing reports, monitoring collections, and providing excellent customer service to internal staff and designated payers. This is an onsite opportunity.

Starting Pay: $24.00 per hour

Responsibilities

• Process initial claims from Therap (electronic medical record system) or other applicable billing platforms by the process of examining, calculating, and or adjusting claims
• Maintain billing platform to ensure accuracy of financials and submitted billing manually and electronically
• Resolve a high volume of disputed claims by gathering, verifying, and providing additional information, following up on claims
• Monitor filing deadlines for each designated payer and ensure processing is completed in that timeframe
• Assist in preparation of reports required by regulatory agencies as directed by the medical billing supervisor
• Gather both private and Medicaid billing information by reviewing consumer records
• Enter codes and verify data for computer processing
• Locate and notify designated payers of delinquent accounts by mail, telephone, email, or personal visits to solicit payment
• Create customer accounts and invoices in NetSuite
• Additional tasks and responsibilities may be assigned
• Employee must cooperate with the license and department staff in any inspection, inquiry, or investigation

Minimum Requirements

• High school diploma or equivalent
• Minimum of two years accounts receivable/billing experience
• Valid driver's license with satisfactory driving record
• Excellent verbal, written, interpersonal, and communication skills
• Knowledge of general accounting principles
• Proficiency in Microsoft Word and excel
• Employment is contingent upon successful completion of checks of criminal background, central registry, child abuse registry, and drug testing

Why Community Options?

• Competitive Insurance Benefits (Medical, Dental, Vision)
• Paid Holidays—Including a Birthday Holiday
• Generous PTO
• Employee Incentive & Discount Programs
• 403b Retirement Plan
• Incredible career growth opportunities
• University partnerships that include tuition reduction

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

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