CAS Billing Associate

Healthcare Staffing; Zanesville (OH); On-site; USD 42,000 - 56,000; Full time

Job summary

Genesis is seeking a CAS Billing Associate to submit accurate claim billings and reports for health plans and payors, while handling accounts receivable follow-up and refunds as needed.

Responsibilities include verifying demographics, researching denials for appeals, and ensuring HIPAA compliance; the role requires strong communication and adherence to all laws and regulations.

Qualifications

• Requires High School Diploma or GED.
• Two years of relevant billing experience; EMS billing/dispatch preferred.
• CAC certification or obtain within three months of hire.
• Valid state driver’s license and driving privileges per Genesis policies.
• Excellent written and spoken communication skills; professional presentation.
• Must read and follow written and verbal instructions; English proficiency.

Responsibilities

• Submit accurate health plan billings based on payor requirements.
• Follow up on accounts receivable, denials, refunds, and credits.
• Research and appeal denied claims with proper documentation.
• Verify patient demographics and insurance benefits.
• Identify services per payor guidelines and regs.
• Meet productivity and quality standards.

Skills

Billing

EMS Billing

Accounts Receivable

Customer Communication

Education

High School Diploma or GED

CAC Certification

Tools

Word Processing

Spreadsheet Software

Database Software

Internet-based Documents

Job description

Position Details

Work Shift: Varied Shift (United States of America). Scheduled Weekly Hours: 0. Department: Rev Cycle/Billing.

Overview of Position

CAS Billing Associate is responsible for submitting accurate and timely claim billing and reports based on a health plan, payor, or contract requirement. This also involves accounts receivable payment follow-up, appeals, and refunds if necessary.

ESSENTIAL DUTIES

1. Demonstrates complete knowledge, understanding, and compliance with company policies and procedures.
2. Demonstrates comprehensive knowledge and understanding of (and compliance with) Federal, State, and local laws, rules, regulations, and guidelines regarding reimbursement, collections, and compliance.
3. Complete patient demographics verification to include insurance coverage of benefits and proper coordination of benefits.
4. Complete health plan billings based on requirements.
5. Compile proper paperwork and conduct appropriate research to appeal claim denials, including requests for refunds and or credits when applicable.
6. Identify covered services based on payor guidelines and federal and state regulations.
7. Meet or exceed established standards for productivity and quality.
8. Communicate effectively and professionally with external customers.
9. Assist with customer service issues, questions, or payments via phone, email, or physical mail.
10. Resolve payment issues with carriers (denials, partial payments, etc.).
11. Review, modify, and re-bill rejected or denied claims.
12. Assist with cash payment posting to provide payor backup as needed for payments received.
13. Perform other duties as assigned.
14. Always maintain the security and privacy of all company and patient information in accordance with HIPAA and all other local, state, and federal regulations.
15. Is responsible for maintaining billing and patient care records in accordance with proper HIPAA and document retention standards.

QUALIFICATIONS

1. High School Diploma or GED equivalent required.
2. Two years of relevant billing experience required. Priority consideration given to those that have specific experience with EMS Billing and/or EMS Dispatch.
3. Certified Ambulance Coder (CAC) certification or must obtain within three months of hire.
4. Must possess a valid state driver's license and be eligible for driving privileges based on current Genesis P&Ps.
5. Excellent communication and interpersonal skills - written, verbal, and presentation.
6. Maintains a positive attitude when acting as a change agent.
7. Must read, comprehend, and follow written and verbal instructions.
8. Must read and understand English.
9. Ability to assess situation needs and problem solve.
10. Demonstrating knowledge, skills, and ability related to patient care and routine procedures at CAS within one's scope of practice, as demonstrated by completing annual competencies.
11. Attends at least six educational programs per year or 24 hours of continuing education per year pertinent to the role.
12. Extensive knowledge of the EMS system, including Basic Life Support (BLS) and Advanced Life Support (ALS) medical protocols, departmental operating procedures, and incident command.
13. Computer skills for utilizing various software, such as word processing, spreadsheet and database software, internet-based document sharing, and internet-based polling and scheduling applications.

Genesis is committed to being an equal opportunity employer.