Billing Specialist

Community Options, Inc.; Princeton (NJ); On-site; USD 27,000 - 39,000; Full time

Benefits offered by this job

Competitive Insurance Benefits

Paid Holidays—Birthday Holiday

Generous PTO

Employee Incentive & Discount Programs

403b Retirement Plan

Career growth opportunities

University partnerships with tuition

Job summary

Community Options, Inc. in Princeton, NJ is seeking a Billing Specialist to ensure compliant Medicaid reimbursements, resolve claim discrepancies, and prepare reports.

The role is onsite and requires attention to detail, strong communication, and proficiency with billing systems. Responsibilities include processing claims, maintaining billing platforms, meeting deadlines, creating invoices, and supporting regulatory reporting.

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.
• Background checks required prior to employment.

Responsibilities

• Process initial claims from Therap or other billing platforms by examining, calculating, and 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 information, following up on claims.
• Monitor filing deadlines for each designated payer and ensure timing for processing.
• Assist in preparation of reports required by regulatory agencies as directed by the medical billing supervisor.
• Gather billing information by reviewing consumer records.
• Enter codes and verify data for processing.
• Notify payers of delinquent accounts by mail, phone, email, or in person to solicit payment.
• Create customer accounts and invoices in NetSuite.
• Additional tasks may be assigned.
• Cooperate with license and department staff during inspections.

Skills

Accounts receivable

Billing

Communication skills

General accounting principles

MS Word

MS Excel

Driver's license

Education

High school diploma or equivalent

Tools

NetSuite

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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