Hybrid Billing Specialist — Healthcare Claims & Collections

Mom; Ankeny (IA); Hybrid; USD 52,000 - 72,000; Full time

Job summary

Mom's Meals is seeking a Billing Specialist to support the Billing/Revenue Cycle Department. The role focuses on ensuring accurate, timely invoicing and effective collections while maintaining high service levels for assigned agencies.

The position is onsite training followed by a hybrid schedule: 3 days in the office and 2 days remote each week, with the office at 3210 SE Corporate Woods Drive, Ankeny, IA 50021.

Qualifications

• High School Diploma or GED required.
• 2+ years healthcare billing experience.
• Proficient in Excel and data accuracy.
• Experience with payer portals and CMS/Medicaid.

Responsibilities

• Create billing reports of assigned agencies.
• Submit accounts receivable claims and/or invoices for weekly/monthly billing of assigned agencies.
• Reconciliation of assigned state or local agencies.
• Research and resubmit of billings to assigned agencies.
• Review quality assurance of all referrals or updated clients from assigned state or local agencies.
• Make outbound & inbound calls, emails to assigned state or local agencies with the purpose of securing correct information regarding new referrals, updated clients, and billings.
• Responsible for executing complex billing tasks, mentoring junior staff, and leading cross-functional initiatives.
• Reduce payment agency backlog.
• Perform in-depth audits of project data to identify and resolve billing discrepancies.
• Demonstrate successful performance through accuracy, timeliness, and customer satisfaction metrics.
• Utilize advanced Excel functions (e.g., VLOOKUP) and reporting tools in CRM and SharePoint.
• Manage complex billing scenarios including denials, rejections, and aging accounts.
• Collaborate with Posting teams to resolve discrepancies and support month-end close.
• Prepare and submit electronic claims, paper claims, and invoices (CMS-1500, UBs, invoices, and payer portals, etc.)
• Resolve claim rejections timely and resolve claim denials through research, appeals, claim corrections/resubmission, and follow-up with health plans
• Ensure accurate and compliant billing, following specific regulations of multi-state Medicaid and MCO's,Medicare Advantage, and Older Americans Act programs
• Responsible for ensuring aged outstanding balances of assigned payers is kept within department standards
• Participate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials, and aging
• Other tasks as assigned, including but not limited to, assisting with projects that impact collections or write offs

Skills

Healthcare billing experience

Excel skills

Communication skills

Multi-tasking and prioritization

Attention to detail

Team collaboration

Critical thinking

Problem-solving

Education

High School Diploma or GED

Tools

Waystar / CRM / D365 / EHR

Job description

Mom's Meals is seeking a Billing Specialist to support the Billing/Revenue Cycle Department. The role focuses on ensuring accurate, timely invoicing and effective collections while maintaining high service levels for assigned agencies.

The position is onsite training followed by a hybrid schedule: 3 days in the office and 2 days remote each week, with the office at 3210 SE Corporate Woods Drive, Ankeny, IA 50021.