Job Description
Essential Functions Note: The essential duties and primary accountabilities below are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Incumbents may perform all or most of the primary accountabilities listed below. Specific tasks, responsibilities or competencies may be documented in the incumbent’s performance objectives as outlined by the incumbent’s immediate supervisor or manager. 1. Conducts monthly pre-billing review and data quality analysis to ensure that invoices delivered to customers and providers are accurate. 2. Regularly receives and processes client and provider adjustments to ensure month end invoices are correct. 3. Uses a variety of collection techniques and forms relationships with business clients to resolve payment issues and escalate collection efforts as necessary. 4. Submits specialty billing for PACE and Medicaid clients using EDI software portal, reconciles EOBs, denied claims and conducts accounts receivable follow-up. 5. Updates pricing on orders in system to ensure invoice accuracy for special items, agreements, substitutions, and unauthorized deliveries. 6. Functions as a key contact person for all billing data integrity matters for clients, vendors, and various internal departments. Marginal or Additional Functions 1. Creates and develops reports to address management needs; analyzes information to identify issues and recommends process improvements as appropriate. 2. May manage special billing & collections projects. 3. Protects company’s intellectual property and the privacy of customers’ data 4. Performs other duties as assigned or apparent. Supervisory and Managerial Responsibility This position does not have supervisory or managerial responsibilities. Knowledge, Skills & Abilities Education, Licensure or Certification: High school diploma or equivalent is required • A bachelor’s degree in business or related field is preferred • Medical bil
