Employer: Change Healthcare
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
The Billing Specialist will be responsible for Medicaid claims submission, denial management, hospital claims and associated professional claims for assigned clients. They may also be assigned to work claims associated with state specific Medicaid or Out of State Medicaid claims. Additionally, they are responsible for ensuring all claims are processed in a timely manner according to state guidelines..
Location: Remote
Schedule: Monday-Friday, 8 hour shift within business hours of 7:30 – 5:30 ET
What will be my duties and responsibilities in this job?
- Ensure billing inventory for all assigned clients is managed to the process activity metrics and financial goals as set by the company
- Responsible for ensuring the timely and accurate billing of all accounts for assigned clients
- Responsible for entering Medicaid eligibility information into the client system.
- Responsible for denial management of all assigned claims
- Responsible for analyzing all remits to ensure accurate payment has been received
- Ensure proper and timely notes are document in both Change Healthcare system and client system
- Keeps Manager aware of any issues that may be impacting claims resolution.
- Helps Manager to build and maintain strong, long-lasting customer relationships
- May be required to work on site with client billing team as needed
- May be required to perform data entry and key claims into billing systems
What are the requirements needed for this position
- Minimum of 1 year of experience in billing and denial management. Preferably with Medicaid in a hospital setting
- Thorough knowledge of Medicaid billing guidelines; experience with Medicaid billing in multiple states
- Working knowledge of EPIC, Cerner, Meditech, or other applicable Hospital Information Systems desired
- Experience with Microsoft Excel and the Microsoft Office suite of programs
- Minimum high school diploma or GED
- Advanced Excel and PowerPoint skills
- Strong communication skills, both written and verbal
- Excellent customer service skills
- Strong follow-up and organizational skills
- Ability to work collaboratively within a team and with limited supervision
- Ability to think strategically
- Ability to follow HIPPA policies and confidentiality processes
- Thorough knowledge of Medicaid HOSPITAL billing guidelines; experienced with Medicaid billing in states other than Georgia also desire
- Knowledge of Epic, Meditech, and Cerner
What are the working conditions and physical requirements of this job?
- Use of phone and computer
- Sitting for long periods of time
- Remote from home – must have reliable internet and quiet work space
- If candidate lives in Atlanta area 5% travel to office may be required
Education
- High School Diploma or GED, some college preferred
Experience / Abilities:
- Minimum of 1 year of experience in billing and denial management. Preferably with Medicaid in a hospital setting.
- Thorough knowledge of Medicaid billing guidelines; experience with Medicaid billing in multiple states
- Working knowledge of EPIC, Cerner, Meditech, or other applicable Hospital Information Systems desired.
- Experience with Microsoft Excel and the Microsoft Office suite of programs
- Strong communication skills.
- Excellent customer service skills.
- Strong follow-up and organizational skills.
- Demonstrated ability to think analytically.
- Ability to follow HIPPA policies and confidentiality processes
- Ability to work collaboratively within a team.
Travel and Hours:
- 8 Hour shift between hours of 7:30-5:30 Eastern
Diversity and Inclusion:
- At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
- Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs.
COVID Vaccination Requirements
We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and, when job-related and consistent with business necessity, we may require periodic testing for certain roles. Some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.
California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
About Us
Careers Transforming the Healthcare System
Who is Change Healthcare? We are a leading technology company inspiring a better healthcare system. Through innovative technology solutions like cutting-edge cloud technology, artificial intelligence, and data insights, we drive better patient outcomes, reduce costs, and create value for our partners.
Positive Impact and Shared Purpose. Through visionary leadership and a culture of collaboration, we share a common purpose to positively impact our communities by creating a stronger, better coordinated, increasingly collaborative, and more efficient healthcare system.
Employee Experience, Cultural Values, and Total Rewards. We celebrate diversity and earn trust with our employees by promoting innovation at every level within the organization. Our teams are agile, and their work is fast paced and engaging. We’re committed to providing competitive compensation that rewards and recognizes performance, offer well-being programs that empower your overall health, and provide learning and development opportunities to accelerate your professional growth.
Find Your Path. Whether you’re ready to make an impact in technology and product innovation or support our mission to inspire a better healthcare system in a variety of career areas, find your path and accelerate your career. What are you waiting for?