Accounts Receivable Management, Accounts Receivable Processing, Billing, Centers for Medicare and Medicaid Services (CMS), Claims Processing, Communication Skills, Content Management Systems (CMS), Cross-Functional, Dental Insurance, Detail Oriented, Disability Insurance, Employee Assistance Plan, Finance, Healthcare, Healthcare Quality, Insurance, Life Insurance, Medicaid, Medical Billing, Medicare, Medications, Microsoft Access Database, Microsoft Excel, Microsoft Outlook, Microsoft Windows Operating System, Onboarding, Operations Management, Outpatient Care, Problem Solving Skills, Psychiatry and Mental Health, Quality Management, Reconciliation, Reengineering, SQL (Structured Query Language), Vision Plan, Volume Planning
Apply
Job Type
Full-time
Description
Community Medical Services (CMS) is hiring a Senior Medical Biller. This role will be responsible for reengineering claim submission work processes, analyzing and reporting the impact of existing AR work processes. The ideal candidate will have experience with Medicaid, Medicare, Veteran Affairs and commercial lines of business. In addition, will be responsible for training on onboarding staff. The candidate will also be responsible for managing high volume insurance plans or nation contract payers. This role will monitor claim volume and payments for assigned payers to maintain accuracy.
As part of our mission to help individuals recover from substance use disorders, you'll thrive in a supportive, engaging, and fulfilling work environment where your contributions are valued.
Along the way, we'll invest in your well-being through a benefits package that includes:
- Subsidized medical, dental, and vision insurance
- Health savings account
- Short and long-term disability insurance
- Life insurance
- Paid sick, vacation, and holiday time
- 401K retirement plan with match
- Tuition and CME reimbursement up to 100%
- Employee assistance program to support your mental health and wellness
- Ongoing professional development
Responsibilities:
- Experience with Medicaid, Medicare, Veterans Affairs and Commercial line of business.
- COB Processing.
- Training and onboarding staff.
- Reengineering claim submission work processes.
- Analyzing and reporting the impact of existing AR work processes.
- Managing high volume insurance plans or national contract payers.
- Remit and Payment Reconciliation.
- Monitor claim volume and payments for assigned payers to maintain accuracy.
- Assist with developing new processing steps for managing AR.
- Other duties as deemed necessary to include finance responsibilities.
- Writing work instructions and job aid for Billing processes.
- Remains current on billing and coding procedures and changes.
- Excellent Communication Skills.
- Working with cross functional Community Medical Services Teams, like Clinical Operations, Quality Management, Enrollment and Credentialing.
- Problem Solver, using Data Driven Decision making.
- Detail orientation with the ability to handle multiple assignments promptly and effectively.
- Experienced with using Microsoft Windows, Outlook, Work, Excel.
- Working Knowledge of Microsoft Access & SQL.
Requirements
#MGMT
About Community Medical Services
Community Medical Services (CMS) is a CARF-accredited addiction treatment program providing services in the form of outpatient medication-assisted treatment and one-on-one and group counseling to those seeking help with their opioid use disorder. Headquartered in Arizona with more than 70 treatment clinics in 14 states, CMS is dedicated to meeting the challenges presented by the growing opioid epidemic in communities where treatment is lacking.
Our Commitment
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, disability status, sexual orientation, gender identity, age, protected veteran status or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Other Conditions
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
C
Community Medical Services