Billing Specialist

Talentify; St. Louis (MO); On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Disability Insurance

Vision Insurance

Employee Assistance Program

401(k)

Life Insurance

Paid Time Off

Telemedicine

Unlimited Assistance

Mayo Clinic Programs

Job summary

Talentify is seeking a Billing Specialist to manage end-to-end billing for Medicare, Medicaid, and Managed Care, ensuring timely, accurate claims.

The role requires maintaining PCC records, collaborating with facilities to resolve issues, and upholding regulatory compliance while delivering excellent patient account service.

Qualifications

• Proficiency in Medicare and Medicaid billing regulations.
• Experience with PointClickCare (PCC) healthcare software.
• Strong understanding of Medicaid, Medicare, and Managed Care processes.
• Working knowledge of billing, collection activities, and cost accounting.
• Proficiency in Microsoft Office Suite, particularly Excel.
• Experience with account reconciliations and financial accuracy.
• Excellent organizational and problem-solving skills.
• Strong attention to detail and ability to work collaboratively across teams.

Responsibilities

• Bill insurance claims accurately and timely for Medicare, Medicaid, and Managed Care.
• Ensure compliance with contract requirements and federal billing regulations.
• Maintain PCC Billing records with accurate documentation.
• Collaborate with facility management to ensure smooth billing operations.
• Submit clean claims promptly to avoid delays and denials.
• Follow up on submitted claims to ensure payment.
• Review accounts receivable aging to support collections.
• Verify patient data and prepare billing per guidelines.
• Investigate delinquent accounts and propose actions.
• Contact third-party payers to facilitate timely payment.
• Maintain documentation of all account activity.
• Process refunds, adjust late charges, and monitor coverage dates.
• Provide excellent customer service for patient inquiries.

Skills

Medicare/Medicaid billing

Billing regulations

Excel proficiency

Account reconciliations

Attention to detail

Team collaboration

Tools

PointClickCare (PCC)

Microsoft Excel

Job description

We are seeking individuals with genuine empathy and patience to help care for our residents’ needs. Applicants must have a caring approach and be willing to care for the needs of patients and the team. Pillars for successful employment are work ethic, integrity, and competence.

We are currently seeking a Billing Specialist.

Job Responsibilities and Duties:

• Responsible for the timely and accurate billing of all insurance claims, including Medicare, Medicaid, and Managed Care.
• Ensure compliance with all insurance contract requirements and federal billing regulations.
• Maintain accurate and complete documentation in PointClickCare (PCC) Billing Software.
• Collaborate with management personnel at each facility to ensure smooth billing operations and prompt resolution of issues.
• Submit clean claims promptly to prevent delays and denials.
• Perform timely follow-up on all submitted claims to ensure proper payment and account resolution.
• Review accounts receivable aging regularly to ensure due diligence in collections.
• Verify the accuracy of patient data and prepare billing according to applicable guidelines and regulations.
• Investigate delinquent accounts and recommend actions for outstanding balances.
• Contact third-party payers and organizations to facilitate timely payment of claims.
• Maintain organized documentation of all account activity, including patient inquiries, refunds, and payment adjustments.
• Process insurance or patient refunds, correct late charges, and monitor effective/exhaust dates for coverage.
• Provide excellent customer service in responding to patient account inquiries.

Requirements:

• Proficiency in Medicare and Medicaid billing regulations.
• Experience working with PointClickCare (PCC) healthcare software.
• Strong understanding of Medicaid, Medicare, and Managed Care processes.
• Working knowledge of billing, collection activities, and cost accounting.
• Proficiency in Microsoft Office Suite, particularly Excel.
• Experience with account reconciliations and financial accuracy.
• Excellent organizational and problem-solving skills.
• Strong attention to detail and ability to work collaboratively across teams.

Benefits:

• Health Insurance
• Dental Insurance
• Disability Insurance
• Vision Insurance
• Employee Assistance Program
• 401(k)
• Life Insurance
• Paid Time Off

Additional Benefits:

• Telemedicine: $0 co-pay for telemedicine appointments, providing easy access to medical consultations from the comfort of your home.
• Unlimited Assistance: Receive unlimited support for legal, financial, childcare, elder care, and more—designed to support your personal and family well-being.
• Mayo Clinic Programs: Access exclusive programs from the Mayo Clinic, including resources for workouts, lifestyle, mental health, and diet to promote a balanced and healthy lifestyle.

These additional benefits are available to you without reducing your take-home pay!