Billing and Accounts Receivable Specialist at Caregiver, Inc.

Caregiver is a leading Texas-based provider of services to adults with intellectual and developmental disabilities (IDD) that supports clients with the design, delivery, and management or personalized treatment plans in order to help them lead their best lives. We are looking for a Billing and A/R Specialist to join our team!

FIND YOUR PASSION. BE UNIQUE. SHARE IT WITH OTHERS. Everyone at Caregiver, Inc. Company is committed to a common goal - creating a world-class experience for our individuals. We are passionate about what we do while making a difference. We work with integrity, accountability, transparency, and compassion in everything we do because we understand those, we serve have a choice in providers. Our company provides care to people with intellectual and developmental disabilities to lead their unique lives independently.

Position Summary

The Billing and AR Specialist is responsible for managing billing operations, ensuring accurate and timely reimbursement, and maintaining strong relationships with clients, funding sources, and relevant stakeholders. This role requires a comprehensive understanding of healthcare billing processes, exceptional attention to detail, and excellent communication skills.

Essential Functions:

1. Billing Operations:
2. Review client documentation, service logs, and program notes to ensure accurate billing and adherence to regulations.
3. Prepare and submit billing claims to funding sources, such as Medicaid, insurance companies, and government agencies.
4. Verify billing data for accuracy, including services provided, units billed, and applicable rates.
5. Ensure proper coding of services rendered to meet billing requirements and maximize reimbursement.
6. Collaborate with program directors, case managers, and service providers to resolve billing discrepancies and address documentation issues.
7. Accounts Receivable Management:
8. Generate and send accurate invoices to clients and funding sources based on contractual agreements and regulatory guidelines.
9. Monitor and reconcile accounts receivable aging, ensuring timely collection of payments.
10. Collaborate with clients, funding sources, and internal stakeholders to address billing inquiries, resolve disputes, and ensure accurate billing and reimbursement.
11. Implement effective collection strategies to minimize overdue accounts and improve cash flow.
12. Maintain accurate and up-to-date records of billing and payment activities.
13. Financial Documentation and Reporting:
14. Maintain organized and up-to-date financial records, including invoices, remittance advice, and billing documentation.
15. Prepare and distribute periodic reports related to accounts receivable, billing, collections, and reimbursement.
16. Assist in month-end and year-end closing activities, including reconciliations and financial reporting.
17. Provide support during internal and external audits by preparing relevant documentation and information.
18. Process Improvement and Compliance:
19. Identify opportunities to streamline and enhance billing processes while ensuring compliance with regulatory guidelines specific to the IDD industry.
20. Stay updated with evolving billing and reimbursement regulations and communicate changes to the finance team.
21. Collaborate with cross-functional teams to implement process improvements, ensure data integrity, and maintain compliance.
22. Assist in the development and documentation of billing and reimbursement policies and procedures.
23. Customer Service:
24. Respond to client and funding source inquiries and resolve billing-related issues in a professional and timely manner.
25. Maintain positive relationships with clients, funding sources, and internal stakeholders, providing excellent customer service.
26. Collaborate with program directors, case managers, and the finance team to address billing inquiries or concerns effectively.

Qualifications:

• Proven experience in billing and accounts receivable within the IDD industry, understanding the specific billing and reimbursement requirements.
• Strong knowledge of Medicaid and other funding source regulations and guidelines.
• Familiarity with electronic billing systems and proficiency in using accounting software and MS Excel.
• Excellent attention to detail and accuracy, particularly in working with complex billing codes and documentation.
• Strong analytical and problem-solving skills.
• Effective communication and interpersonal skills to interact with clients, funding sources, and internal stakeholders.
• Ability to work independently and collaboratively in a team environment.
• Strong organizational and time management skills.
• Knowledge of billing compliance regulations and ability to maintain confidentiality.

Education and/or Experience:

• Bachelor's degree in accounting, finance, or a related field (or equivalent work experience).
• Experience with billing software and Zirmed

Why join Caregiver?

Fulfilling work

Our mission is to enable people with intellectual and developmental disabilities to lead their unique lives with dignity, independence, and inclusion. We are committed to creating a world-class experience for the individuals we serve.

Family Culture

Inspired by the company's founders more than 30 years ago, we work hard to keep that "family feel" across each of our locations. We want to be your home away from home.

Professional Growth Opportunities

95% of our organizational leaders started as direct care professionals. By taking a proactive approach in our employee's growth and professional development, we mitigate employee turnover, increase employee satisfaction, and drive productivity.

Benefits:

• FREE virtual doctor visits and prescription DISCOUNT card for ALL employees AND family, save hundreds per visit!
• NO CREDIT CHECK bank accounts to all employees with cash advance opportunities.
• $10,000 in tuition reimbursement annually for full-time eligible employees.
• $10,000 in life insurance for all employees at no cost.
• Medical, Dental, Vision, Voluntary Life Insurance
• 401K

For more information on our organization, please visit our website https://cg-idd.com

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