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ACHIEVA RESOURCE

Senior Billing Specialist

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Description

Salary: $23.60 per hour

Sign-on bonus: $2000 for full-time positions

FUNCTION:

The Senior Billing Specialist supports the organization's day-to-day billing operations and revenue. This position performs daily, weekly, and monthly billing functions. This position reports to the Billing Manager.

CORE RESPONSIBILITIES:

  • Primarily responsible for submitting weekly claims using the state databases and various in-house billing software systems.
  • Performs claim resubmissions, corrections, and voids as necessary which includes investigation and tracking of rejected and denied claims.
  • Processes trade files and remittances from the Department of Public Welfare.
  • Acts as a point of contact between program staff and billing staff on related billing issues and adjustments.
  • Attends meetings and works closely with software consultants.
  • Assists Billing Manager with providing necessary documents and support for internal and external audits and monitoring.
  • Completes all revalidation applications with Pennsylvania Department of Human Services.
  • Will act as a back-up for Billing Specialist as needed.
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