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Billing Specialist
Mom's Meals | A Purfoods Company. Perform specified financial tasks supporting day-to-day Revenue Cycle Department operations .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare billing processes, including the preparation and submission of electronic claims and invoices, while ensuring compliance with multi-state Medicaid and Medicare regulations. Strong analytical skills are applied to audit project data and resolve billing discrepancies, contributing to improved revenue cycle operations.
Highest-signal resume keywords
Healthcare Billing ExperienceAdvanced Excel SkillsWaystar ExperienceClaims Submission and ManagementStrong Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Healthcare BillingClaims SubmissionBilling ReconciliationData AuditingExcel VLOOKUPPatient RegistrationMulti-state Medicaid ComplianceCMS-1500 FormsUB FormsElectronic Health Records
Soft Skills
Attention to DetailCritical ThinkingProblem-SolvingTeam CollaborationMulti-tasking
Tools & Technologies
CRMD365WaystarSharePointElectronic Claims Submission
Industry Keywords
Revenue Cycle ManagementMedicare AdvantageOlder Americans ActBilling DiscrepanciesPayment Agency Backlog
About the role
Key responsibilities & impact- Perform specified financial tasks supporting day-to-day Revenue Cycle Department operations
- Create billing reports for assigned agencies
- Submit accounts receivable claims and/or invoices for weekly/monthly billing
- Reconcile assigned state or local agencies
- Research and resubmit billings
- Review quality assurance of referrals and updated clients
- Contact state or local agencies by phone and email to obtain correct referral, client, and billing information
- Execute complex billing tasks, mentor junior staff, and lead cross-functional initiatives
- Reduce payment agency backlog
- Audit project data to identify and resolve billing discrepancies
- Meet accuracy, timeliness, and customer satisfaction metrics
- Use advanced Excel functions such as VLOOKUP and reporting tools in CRM and SharePoint
- Manage denials, rejections, and aging accounts
- Collaborate with Posting teams to resolve discrepancies and support month-end close
- Prepare and submit electronic claims, paper claims, and invoices, including CMS-1500s, UBs, invoices, and payer portals
- Resolve claim rejections and denials through research, appeals, corrections/resubmission, and health-plan follow-up
- Ensure accurate and compliant billing under multi-state Medicaid and MCO, Medicare Advantage, and Older Americans Act regulations
- Keep aged outstanding balances within department standards
- Participate in process improvement initiatives and collaborate across teams on denials and aging
- Assist with projects affecting collections or write-offs
Requirements
What you’ll need- High School Diploma or GED
- 2+ years of work-related experience in healthcare related field, including healthcare billing institutional and professional claims, patient registration, and/or patient access
- Intermediate level Excel skills
- Strong oral and written communication skills
- Ability to multi-task, set priorities, and pay close attention to detail
- Strong ability to work with team members across multiple departments
- Ability to work unsupervised with strong critical thinking and problem-solving skills
- Experience with Waystar, CRM, D365, and/or electronic health record platforms
- Must have a wired internet connection using an ethernet port; broadband internet wired to the home is required—Cable Modem/service or Fiber Optic; no Satellite, 4/5G, or DSL circuits
- Must have a quiet workspace free from distraction
- Must be located in Iowa; applicants outside of Iowa will not be considered
- Employment contingent upon successfully passing a pre-employment drug screen and background check, where permitted by law
Benefits
Comp & perks- Full-Time, Hybrid work arrangement
- Hybrid schedule after onsite training: 3 days in the office and 2 days remotely each week