Business Office Clerk, Billing - Recovery Solutions

• Make a difference every day in the lives of the underserved
• Join a mission driven organization with a people first culture
• Excellent career growth opportunities

Join us and find a career that supports:
• Caring for overlooked, underserved, and vulnerable patients
• Diversity, equity, inclusion, and belonging
• Autonomy in a warm team environment
• Growth and training

Perks and Benefits
In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:
• DailyPay, receive your money as you earn it!
• Tuition Assistance and dependent Scholarships
• Employee Assistance Program (EAP) including free counseling and health coaching
• Company paid life insurance
• Tax free Health Spending Accounts (HSA)
• Wellness program featuring fitness memberships and product discounts
• Preferred banking partnership and discounted rates for home and auto loans

*Eligibility for perks and benefits varies based on employee type and length of service. 

Now is your moment to make a difference in the lives of the underserved.

If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.

This position entails managing Medicare/Medicaid billing processes and processing medical claims, including CMS 1500 forms, alongside completing Social Security Administration (SSA) forms and securing signatures for changes in SSDI representative payees. Additionally, responsibilities involve completing Medicare Cost Report schedules, posting Department of Children and Families (DCF) collections, and addressing assorted issues with payers and service providers, with potential involvement in supporting other areas of the business office as needed. The role requires meticulous attention to detail, effective communication skills, and adeptness in navigating regulatory requirements and administrative procedures within the healthcare billing landscape.

• Oversee monthly billing operations for ancillary services under Medicare/Medicaid, ensuring accuracy in super bills and addressing any billing issues with Medicare or Medicaid, while maintaining and reconciling the Accounts Receivable report.
• Manage the preparation of monthly Medicare Part D collections reports, reconciling collections to Department of Children and Families (DCF) collections, and organizing financial folders for new admissions, including the distribution of DCF Form 280 for patients or family members receiving SSDI benefits.
• Execute repricing of medical invoices based on the Medicaid Fee Schedule, identify Medicare-eligible Persons Served, and handle the processing of Medicare claims, along with maintaining an updated log. Additionally, complete annual Medicare Cost Report schedules and post weekly DCF third-party collections, reconciling them to weekly reports processed.
• Review Lab and Radiology invoices before payment to exclude Medicare-eligible Persons Served from payment. Conduct month-end physical inventory for Food Services supplies, handle collection letters for the hospital, and assist in annual audits by DCF, AHCA, and Corporate internal auditors.
• Demonstrate adherence to the CCRS Code of Conduct and fulfill other assigned duties as required.

Education

• High School Diploma or GED required. Associates or Bachelor’s degree preferred.

Experience

• Two (2) years’ experience in billing. Familiar with Medicare and Medicaid Fee Schedules. Analytical and with excellent communication and written skills. Computer literate. Knowledge of Medicare DDE or DCF billing systems preferred.

Licenses/Certifications

• None required.

We celebrate diversity and are committed to creating an inclusive environment for all employees.

We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.