The Billing Specialist is responsible for completing assigned financial tasks that support the day-to-day operations of the Billing/Revenue Cycle Department. We are seeking someone who is highly driven to solve problems, actively pursues collections, works well in a team, and ensures every claim is handled with care and urgency.

Paid time off and benefits are available after 30 days of employment. After training, this will be a hybrid role, with the opportunity to work 3 days in the office and 2 days remotely each week.

**Position Responsibilities may include, but are not limited to:**
– Create billing reports for assigned agencies
– Submit accounts receivable claims and/or invoices for weekly/monthly billing for assigned agencies
– Reconcile assigned state or local agencies
– Research and resubmit billing to assigned agencies
– Review quality assurance for all referrals or updated clients received from assigned state or local agencies
– Place outbound and inbound calls and send emails to assigned state or local agencies to obtain correct information regarding new referrals, updated clients, and billing
– Perform complex billing tasks, mentor junior staff, and lead cross-functional initiatives
– Reduce agency payment backlogs
– Conduct in-depth audits of project data to identify and resolve billing discrepancies
– Demonstrate strong performance through accuracy, timeliness, and customer satisfaction metrics
– Use advanced Excel functions (e.g., VLOOKUP) and reporting tools in CRM and SharePoint
– Handle complex billing situations, including denials, rejections, and aging accounts
– Partner with Posting teams to resolve discrepancies and support month-end close
– Prepare and submit electronic claims, paper claims, and invoices (CMS-1500, UB forms, invoices, and payer portals, etc.)
– Resolve claim rejections promptly and address claim denials through research, appeals, claim corrections/resubmission, and follow-up with health plans
– Ensure billing is accurate and compliant with regulations for multi-state Medicaid and MCOs, Medicare Advantage, and Older Americans Act programs
– Ensure assigned payers’ aged outstanding balances remain within department standards
– Participate in process improvement efforts and collaborate across teams to resolve issues, claim denials, and aging
– Perform other duties as assigned, including supporting projects that affect collections or write-offs

**Required Skills and Experience:**
– High school diploma or GED
– 2+ years of relevant work experience in healthcare, such as healthcare billing (institutional and professional claims), patient registration, and/or patient access
– Intermediate Excel skills
– Strong written and verbal communication skills
– Ability to multitask, prioritize, and maintain strong attention to detail
– Ability to work effectively with team members across multiple departments
– Ability to work independently with strong critical thinking and problem-solving skills
– Experience with Waystar, CRM, D365, and/or electronic health record systems
– Must have a wired internet connection via an ethernet port. Broadband wired internet is required (cable modem/service or fiber optic). No satellite, 4/5G, or DSL connections
– Must have a quiet, distraction-free workspace

**Preferred Skills and Experience:**
– Bachelor’s degree in healthcare administration, medical administrative assistance, or healthcare finance
– Prior experience with electronic claims (e.g., electronic 835/837 claim and remittance files), Zirmed, and/or secure payer web portals
– AAHAM and/or HFMA certification
– Knowledge of CMS regulations and familiarity with healthcare billing standards and compliance
– Experience with Waystar, CRM, D365, and/or electronic health record systems

**Physical Requirements:**
– Repetitive hand/wrist/finger movements
– Sedentary work that primarily involves sitting and remaining stationary for extended periods
– Visual ability to perform the job, including peripheral vision, depth perception, and the ability to adjust focus

**Company Overview**
Mom’s Meals is a home-delivered meal service that has provided fully prepared, refrigerated meals to homes nationwide for more than 25 years. We offer tailored nutrition solutions for seniors, patients recovering after discharge, and individuals managing chronic conditions to meet their specific needs. If you care deeply about others’ well-being and have a strong sense of community, Mom’s Meals may be the right place for you. We are a family-run business seeking fun, compassionate, and friendly individuals who want to make a difference in others’ lives.

**EEO**
Mom’s Meals complies with all applicable federal and state non-discrimination laws. All qualified applicants will be considered for employment without regard to race, religion, national origin, ancestry, color, gender, age, disability, sexual orientation, or military status.