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Billing Specialist Hospital
Job ID R29061
Date posted 08/17/2022
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
The Billing Specialist will be responsible for Medicaid claims submission, denial management, hospital claims and associated professional claims for assigned clients. They may also be assigned to work claims associated with state specific Medicaid or Out of State Medicaid claims. Additionally, they are responsible for ensuring all claims are processed in a timely manner according to state guidelines..
Schedule: Monday-Friday, 8 hour shift within business hours of 7:30 - 5:30 ET
What will be my duties and responsibilities in this job?
Ensure billing inventory for all assigned clients is managed to the process activity metrics and financial goals as set by the company
Responsible for ensuring the timely and accurate billing of all accounts for assigned clients
Responsible for entering Medicaid eligibility information into the client system.
Responsible for denial management of all assigned claims
Responsible for analyzing all remits to ensure accurate payment has been received
Ensure proper and timely notes are document in both Change Healthcare system and client system
Keeps Manager aware of any issues that may be impacting claims resolution.
Helps Manager to build and maintain strong, long-lasting customer relationships
May be required to work on site with client billing team as needed
May be required to perform data entry and key claims into billing systems
What are the requirements needed for this position
Minimum of 1 year of experience in billing and denial management. Preferably with Medicaid in a hospital setting
Thorough knowledge of Medicaid billing guidelines; experience with Medicaid billing in multiple states
Working knowledge of EPIC, Cerner, Meditech, or other applicable Hospital Information Systems desired
Experience with Microsoft Excel and the Microsoft Office suite of programs
Minimum high school diploma or GED
Advanced Excel and PowerPoint skills
Strong communication skills, both written and verbal
Excellent customer service skills
Strong follow-up and organizational skills
Ability to work collaboratively within a team and with limited supervision
Ability to think strategically
Ability to follow HIPPA policies and confidentiality processes
Thorough knowledge of Medicaid HOSPITAL billing guidelines; experienced with Medicaid billing in states other than Georgia also desire
Knowledge of Epic, Meditech, and Cerner
What are the working conditions and physical requirements of this job?
Use of phone and computer
Sitting for long periods of time
Remote from home - must have reliable internet and quiet work space
If candidate lives in Atlanta area 5% travel to office may be required
High School Diploma or GED, some college preferred
Experience / Abilities:
- Minimum of 1 year of experience in billing and denial management. Preferably with Medicaid in a hospital setting.
- Thorough knowledge of Medicaid billing guidelines; experience with Medicaid billing in multiple states
- Working knowledge of EPIC, Cerner, Meditech, or other applicable Hospital Information Systems desired.
- Experience with Microsoft Excel and the Microsoft Office suite of programs
- Strong communication skills.
- Excellent customer service skills.
- Strong follow-up and organizational skills.
- Demonstrated ability to think analytically.
- Ability to follow HIPPA policies and confidentiality processes
- Ability to work collaboratively within a team.
Travel and Hours:
- 8 Hour shift between hours of 7:30-5:30 Eastern
Diversity and Inclusion:
•At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
•Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity
Feeling Inspired? Ready to #MakeAChange? Apply today!
COVID Vaccination Requirements
We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and, when job-related and consistent with business necessity, we may require periodic testing for certain roles. Some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.
If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to firstname.lastname@example.org with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.
Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.
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Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
Talent Acquisition Process
Once you apply for a job opening, the Sourcing Specialist or Talent Advisor will review your resume ensuring your background matches the minimum job requirements. Selected candidates will be invited for a phone screen.
Steps will vary by team, but typically include: Talent Advisor phone screen, hiring manager interview, and a combination of technical screens and panel interviews.
If you're selected, you can expect the Talent Advisor to reach out with specific offer details. During this stage you will be provided with an electronic offer letter and other new hire documents.
Once you've electronically signed your offer, our onboarding team will get you ready for Week 1 and set you up for success! Onboarding tasks may include a background check, drug screening, and other job specific requirements.
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