Billing Claims Specialist at NetSmart Technologies in Wayne, Pennsylvania

Job Description:

Responsible for managing day-to-day billing processes and procedures for assigned clients including submitting electronic and paper claims, troubleshooting resolution of solution billing errors, clearinghouse errors, and payer electronic claim rejections.

Responsibilities

• Prepare and submit clean claims to various insurance companies either electronically or by paper.




• Troubleshoot and resolve/escalate billing errors occurring in the care record.




• Research, resolve, and report on unbilled claims identified in the client billing solution.




• Handle EDI (Electronic Data Interchange) transactions, including reconciling carrier submissions, edits and rejection reports.




• Provide customer service support for patients, client administrative staff and insurance companies.




• Prepare, review, and send patient statements to mailing service.




• Meet defined productivity standards.

Qualifications
Required

• High school diploma or GED or equivalent work experience.




• At least 1 year of customer service work experience




• Proficiency in Microsoft Office products, specifically Excel, Word, and Outlook

Preferred

• Bachelor's degree




• At least 1 year of medical billing, cash posting, and charge entry work experience




• Medical coding certification




• Maintain strict confidentiality and adheres to all HIPAA guidelines/regulations.

Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.

All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position.