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Sedgwick County Government · 23 hours ago

COMCARE Billing Specialist - COMCARE

Wichita, KS, US

Full-time

Onsite

Entry Level

$18.79/hr - $18.79/hr

1+ years exp

Sedgwick County Government is seeking a COMCARE Billing Specialist to manage revenue collection for COMCARE services. The role involves processing billing transactions, managing accounts receivable, and ensuring compliance with payor requirements.

CommunitiesGovernmentNon Profit

Responsibilities

Responsible for tasks related to revenue collection of COMCARE services billed to various payor sources to ensure we are maximizing revenues

Duties include insurance updates, processing recoupment requests with various payors and follow-up on accounts receivables

Regular, reliable, and non-disruptive attendance is an essential job duty, as is the ability to create and maintain collegial, harmonious working relationships with others

Employee must be able to complete complex tasks by applying CCBHC practices, standard office policies, authorized instructions, and past precedents to achieve a desired outcome

Employee must quickly recognize emergency or sensitive situations and take appropriate action

Critical decision making and the ability to think through the consequences of a decision are essential in this position

Process payor recoupments

Contact payors regarding compliance recoupments

Submit recoupment requests for various payors

Follow up on recoupments to ensure processing is done timely

Update /Correct billing transaction on patient account

Processing Accounts Receivable transactions

Monitor status of aged accounts with various payors

Research outstanding claims and make any corrections necessary so that claims can be processed correctly

Verify accuracy of denial and payment discrepancies

Communicate with payor customer service representatives to resolve claim issues

Assist working electronic claim errors and rejections; making corrections and resubmitting claims as needed

Process insurance request for information

Work monthly Patient Balance reports

Assist with auditing accounts for accuracy prior to submission to Kansas Setoff

Post payments for assigned payers

Work monthly eligibility reports

Manage Waiver client accounts

Process SED (Severely and Emotionally Disturbed) Waiver eligibility forms (3160/3161) as received

Verify coverage accuracy and retrobill applicable dates of service to updated payor

Communicate with program staff regarding any insurance coverage issues

When notified of client Waiver authorization status, verify all dates of service are covered and ensure transactions are processed correctly

Verify Waiver authorizations and retrobill affected charges

Prepare and submit monthly waiver assessment invoices; enter assessment services and guarantor information into electronic medical record

Qualification

Healthcare billingAccounts ReceivableExcelInsurance verificationCommunication skills

Required

One (1) year of office or administrative support

High School Diploma or equivalent

Must pass pre-employment testing of Excel 70% to be completed after interview

Meet the specifications as outlined in the CMHC/CCBHC licensing standards and pass KBI, DCF child abuse check, DCF adult abuse registry, KDADS Nurse Aide and Criminal Record check, National Sex Offender Registry check, and motor vehicle screens

Must complete orientations provided by Sedgwick County and COMCARE