COMCARE Billing Specialist - COMCARE

Department: COMCARE

Job ID: 13450

Pay: $18.79 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.

Provide support to the COMCARE billing functions to ensure that all claims for services are processed timely to generate all potential revenues. Billing functions will be performed in accordance with current acceptable accounting and cost reimbursement principles relating to health care and the Sedgwick County Health and Human Services division.

Manage Provider Data/Credentialing

• Update provider information with the Managed Care Companies to include address/license changes.
• Notify Managed Care companies of provider terminations
• Complete provider attestations for various payors
• Verify Medicare provider revalidation dates

Processing electronic claim files

• Process inbound 837 files from our affiliate partners
• Assist working all electronic claim errors and rejections; making corrections and resubmitting claims as needed
• Process claim adjustments received from COMCARE affiliate partners
• Run pre-billing edits reports for affiliate programs.
• Work aged receivables on assigned payors to resolve unpaid claims.
• Work aged receivable spreadsheets received from COMCARE affiliate partners

Perform Patient Account Maintenance/Customer Service

• Greet customers who enter building and announce visitor to staff
• Take walk-in payments and write receipt
• Update patient addresses via returned mail and inhibit mailing on accounts Data entry of revenues in Access database
• Charge entry into electronic medical record
• Process and post credit card payments and mail receipt
• Answer phone calls and take necessary action to resolve issue
• Distribute COMCARE billing mail to applicable staff

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, adult abuse registry, and motor vehicle screens. Must complete orientations provided by Sedgwick County and COMCARE.

Preferred Qualifications: Coursework in HealthCare billing. One year experience in healthcare billing or related field.

Applicants have rights under Federal Employment Laws. Please find more information under the following link. Apply for a Job | Sedgwick County, Kansas