Share of Cost Billing Specialist

Genzeon; United States; Remote; USD 50,000 - 65,000; Full time

Job summary

An established industry player is seeking a detail-oriented Share of Cost Billing Specialist to manage specific accounts within their system. This remote role involves verifying patient Medicaid enrollment and coordinating with various agencies to ensure timely billing. The ideal candidate will possess strong organizational and communication skills, with a focus on accuracy and detail. Join a forward-thinking company where your contributions will directly impact patient care and operational efficiency, all while working in a supportive and collaborative environment.

Qualifications

• Experience with medical billing and insurance processing preferred.
• Strong attention to detail and accuracy in data entry.

Responsibilities

• Manage referred share of cost accounts and verify patient eligibility.
• Request and process itemized bills through CDM and DCF.

Skills

Medical Billing

Insurance Processing

Revenue Cycle Management

Attention to Detail

Organizational Skills

Communication Skills

Tools

CDM

Epic

Okta

MyAccess

Job description

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Job Title: Share of Cost Billing Specialist

Remote

Contract

Job Summary:

We are seeking a detail-oriented Share of Cost Billing Specialist to manage referred share of cost accounts only within our system. This role requires working within CDM, Epic, and Okta, to verify patient Medicaid enrollment within the Share of Cost program. Coordinate with Department of Children’s and Families and ensure timely submission and tracking of itemized bills through DCF. The ideal candidate will have strong organizational skills, attention to detail, and the ability to communicate effectively with internal teams, patients, and external agencies.

Key Responsibilities:

• Review and manage assigned accounts identified as referred share of cost in CDM.
• Verify patient eligibility by checking the Okta system to confirm Share of Cost
• Gather necessary case details, including case number, PIN number, and share of cost amount, through community partners.
• Request itemized bills through CDM along with a DCF barcode when share of cost is met.
• Process itemized bill submissions via MyAccess (Community Partners portal) and fax to DCF for tracking.
• Monitor the 24-hour crossover period for itemized bills and ensure timely submission.
• Track bill status, ensuring completion within 3 to 7 business days, depending on prescription availability at discharge.
• If a bill remains unprocessed after 7 business days, initiate a DCF escalation and follow up within 72 hours for a resolution.
• Identify and resolve additional case requirements such as income verification or additional billing documentation.
• Contact patients or households to collect necessary income verification for the date of service if required.

Qualifications & Skills:

• Experience with medical billing, insurance processing, or revenue cycle management preferred.
• Familiarity with EPIC and DCF processes is a plus.
• Strong attention to detail and accuracy in data entry and documentation.
• Excellent organizational and time-management skills.
• Ability to communicate professionally with patients, families, and external agencies.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Information Technology

• Industries

  IT Services and IT Consulting

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