COMCARE Billing Specialist - COMCARE Job at Sedgwick County
Department: COMCARE
Pay: $18.24 per hour
Work Schedule: Monday - Friday, 8:00am - 5:00pm
Sedgwick County offers a comprehensive benefits package for full-time employees that includes health coverages, paid leave, regular compensation reviews, retirement plans, and professional development opportunities. For more detailed information, please visit our benefits page at SCBenefits .
Performs revenue collection tasks for COMCARE services billing to various payer sources. Duties include payment reconciliation, insurance updates and follow-up on account receivables to maximize COMCARE revenue collections. Employee must be able to complete complex tasks by applying CCBHC practices, standard office policies, authorized instructions, and past precedents to achieve a desired outcome. Employee must quickly recognize emergency or sensitive situations and take appropriate action. Critical decision making and the ability to think through the consequences of a decision are essential in this position.
Processing Accounts Receivable transactions
Download payment files from the applicable payer website/clearinghouse
Post payments utilizing the 835 (electronic remittance) or manually for assigned payers
Work applicable balance reports; research billing problems
Process credit card payments
Prepare and forward denial notification spreadsheet to Affiliates
Monitor Status of Aged Accounts
Research outstanding claims and make any corrections necessary so that claims can be processed correctly
Research payment discrepancies
Process recoupments when needed
Communicate with claims customer service to resolve claim issues
Determine accuracy of denials and make appropriate corrections
Communicate with provider representatives regarding claim projects
Processing claim appeals/reconsiderations with payers
Process online claim reconsiderations and appeals via payer website
Submit claim corrections via applicable websites
Monitor status of reconsiderations to ensure they are processed correctly
Minimum Qualifications: High School Diploma or equivalent. One year office or administrative support. Must pass pre-employment testing of Excel 70% to be completed after interview. Meet the specifications as outlined in the CMHC/CCBHC licensing standards and pass KBI, DCF child abuse check and adult abuse registry. Must complete orientations provided by Sedgwick County and COMCARE. In order to comply with the requirements of the federal health care staff COVID-19 vaccination mandate, all employees of COMCARE and the Health Department must be fully vaccinated. All offers of employment are contingent upon submission of vaccination documentation prior to start date.
Preferred Qualifications: Coursework in HealthCare billing. One year experience in healthcare billing or related field.
It is the policy of Sedgwick County not to discriminate in its programs or services provided to the general public, including employment and all other activities, on the basis of race, color, religion, national origin, citizenship, sex, age, disability, veteran status or any other similarly protected status. Sedgwick County is committed to making the application, interview, and pre-employment testing process accessible to persons with disabilities. If you wish to volunteer information regarding any special assistance you may need, please notify Human Resources by phone at (316) 660-7050, TDD (Kansas Relay at 711 or 800-766-3777). Do not use this phone number for employment questions. This number is provided only for those requiring ADA assistance. You will be contacted should the department feel that you are a qualified candidate.
Please Note :
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Pay: $18.24 per hour
Work Schedule: Monday - Friday, 8:00am - 5:00pm
Sedgwick County offers a comprehensive benefits package for full-time employees that includes health coverages, paid leave, regular compensation reviews, retirement plans, and professional development opportunities. For more detailed information, please visit our benefits page at SCBenefits .
Performs revenue collection tasks for COMCARE services billing to various payer sources. Duties include payment reconciliation, insurance updates and follow-up on account receivables to maximize COMCARE revenue collections. Employee must be able to complete complex tasks by applying CCBHC practices, standard office policies, authorized instructions, and past precedents to achieve a desired outcome. Employee must quickly recognize emergency or sensitive situations and take appropriate action. Critical decision making and the ability to think through the consequences of a decision are essential in this position.
Processing Accounts Receivable transactions
Download payment files from the applicable payer website/clearinghouse
Post payments utilizing the 835 (electronic remittance) or manually for assigned payers
Work applicable balance reports; research billing problems
Process credit card payments
Prepare and forward denial notification spreadsheet to Affiliates
Monitor Status of Aged Accounts
Research outstanding claims and make any corrections necessary so that claims can be processed correctly
Research payment discrepancies
Process recoupments when needed
Communicate with claims customer service to resolve claim issues
Determine accuracy of denials and make appropriate corrections
Communicate with provider representatives regarding claim projects
Processing claim appeals/reconsiderations with payers
Process online claim reconsiderations and appeals via payer website
Submit claim corrections via applicable websites
Monitor status of reconsiderations to ensure they are processed correctly
Minimum Qualifications: High School Diploma or equivalent. One year office or administrative support. Must pass pre-employment testing of Excel 70% to be completed after interview. Meet the specifications as outlined in the CMHC/CCBHC licensing standards and pass KBI, DCF child abuse check and adult abuse registry. Must complete orientations provided by Sedgwick County and COMCARE. In order to comply with the requirements of the federal health care staff COVID-19 vaccination mandate, all employees of COMCARE and the Health Department must be fully vaccinated. All offers of employment are contingent upon submission of vaccination documentation prior to start date.
Preferred Qualifications: Coursework in HealthCare billing. One year experience in healthcare billing or related field.
It is the policy of Sedgwick County not to discriminate in its programs or services provided to the general public, including employment and all other activities, on the basis of race, color, religion, national origin, citizenship, sex, age, disability, veteran status or any other similarly protected status. Sedgwick County is committed to making the application, interview, and pre-employment testing process accessible to persons with disabilities. If you wish to volunteer information regarding any special assistance you may need, please notify Human Resources by phone at (316) 660-7050, TDD (Kansas Relay at 711 or 800-766-3777). Do not use this phone number for employment questions. This number is provided only for those requiring ADA assistance. You will be contacted should the department feel that you are a qualified candidate.
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.