Meals On Wheels, Inc. of Tarrant County
Position Description
Title: MANAGED CARE BILLING SPECIALIST
Exempt/Non-Exempt: Full-time Exempt
Reports To: Manager of Contracts and Operations and VP Finance & Operations
Supervises: No Supervisory Responsibilities
Other Relationships: Works with Operations & Accounting Department, all other agency departments, managed care organizations, and the public in general.
Position’s Role Summary: A Managed Care Billing Specialist primarily accurately bills payers to assure timely payments of services, follows up on unpaid claims in a timely manner, serves as subject matter expert, assists Meals On Wheels Operations department to achieve billing best practices.
Summary of Essential Duties and Responsibilities:
- This position is primarily responsible for providing accurate and timely billings to government and private payer entities.
- Follows up daily on receivables outstanding and responds to requests for information and denials in a timely manner. Responsible for pursuit of delinquent accounts, claims, and appeals. Supply appropriate documentation to VP of Finance for uncollectible amounts.
- Understand the terms of managed care contracts and be able to apply that understanding to billing
- Recording all amounts billed and payments received onto Excel spreadsheet, Harmony database, and Abila MIP accounting software.
- Month end database reconciliation and close of payer billings.
- Maintains up to date knowledge of how to bill managed care payers.
- Effectively manages time to meet deadlines.
- Strong verbal and written skills are required in order to interact with insurance companies to resolve unpaid claims via telephone and written correspondence
- Other Operations Department administrative responsibilities include answering incoming calls, taking donations over the phone, entering client intakes, meal delivery reports, intake packets, and filing.
- Work in coordination with all team members to ensure excellent customer service to donors, vendors, board members, and staff.
- Other duties as assigned
Education, Training and Experience:
- Prefer 3-5 years experience billing various Managed Care companies and understanding requirements for each payer
- Must be able to understand managed care contracting and apply to billing
- Claim appeal/resolution expertise preferred
- Must be able to effectively interact with payers to ensure timely processing of claims and resolve unpaid claims via telephone and/or written correspondence
- Excellent verbal, written, analytical and interpersonal skills
- Excellent time management, organizational and problem-solving skills, and ability to project and meet deadlines.
- Must be able to work individually as well as in a team environment and communicate effectively with clients, donors, volunteers, and staff.
- Must be able to sit for extended periods of time and lift 25 lbs.
- Experience with software such as Excel.
Agency Responsibilities – Shared by all Staff Members
- Maintain confidentiality of client, donor, volunteer, staff and board information
- Support the mission, vision and goals of Meals On Wheels, Inc. of Tarrant County
- Deliver meals and assist with phones when necessary
- Must have dependable transportation and valid driver’s license
- Must be able to pass multi-state background check
- Assist with other projects when necessary
Interested individuals should send a cover letter, resume, salary history, and salary requirements to Twyla@mealsonwheels.org.
PERSONNEL POLICIES
NON-DISCRIMINATION AND EQUAL EMPLOYMENT OPPORTUNITY POLICY
No person employed by the Agency or seeking to be employed by the Agency shall be appointed, promoted, removed or in any way favored or discriminated against because of race, creed, color, national origin, religion, gender, age disability, sexual preference, transgender status, gender identity or gender expression, political affiliation, or status as a disabled veteran or veteran of the Vietnam era. The Agency complies with the Americans with Disabilities Act that prohibits discrimination of any qualified individual with a disability who satisfies the requisite skills, experience, and education and other job-related requirements of the employment position such individual holds or desires, and who, with reasonable accommodations, can perform the essential functions of such a position.
The Agency promotes diversity in its workforce, has an Equal Employment Opportunity policy, and is in compliance with federal and state laws. Hiring, appointments and promotions shall be solely on the basis of merit, ability and experience, and the needs of the Agency.