Billing Manager at QBE supporting financial operations and leading billing and collections processes. Responsibilities include monitoring delinquent accounts and managing budgeted resources.
About the role
- Billing Specialist managing financial tasks for healthcare delivery service. Ensuring timely resolution of billing issues and compliance with healthcare regulations in a hybrid role.
Responsibilities
- Create billing reports of assigned agencies
- Submit accounts receivable claims and/or invoices for weekly/monthly billing of assigned agencies
- Reconciliation of assigned state or local agencies
- Research and resubmit of billings to assigned agencies
- Review quality assurance of all referrals or updated clients from assigned state or local agencies
- Make outbound & inbound calls, emails to assigned state or local agencies with the purpose of securing correct information regarding new referrals, updated clients, and billings
- Responsible for executing complex billing tasks, mentoring junior staff, and leading cross-functional initiatives
- Reduce payment agency backlog
- Perform in-depth audits of project data to identify and resolve billing discrepancies
- Demonstrate successful performance through accuracy, timeliness, and customer satisfaction metrics
- Utilize advanced Excel functions (e.g., VLOOKUP) and reporting tools in CRM and SharePoint
- Manage complex billing scenarios including 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 (CMS-1500, UBs, invoices, and payer portals, etc.)
- Resolve claim rejections timely and resolve claim denials through research, appeals, claim corrections/resubmission, and follow-up with health plans
- Ensure accurate and compliant billing, following specific regulations of multi-state Medicaid and MCO's, Medicare Advantage, and Older Americans Act programs
- Responsible for ensuring aged outstanding balances of assigned payers is kept within department standards
- Participate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials, and aging
- Other tasks as assigned, including but not limited to, assisting with projects that impact collections or write offs
Requirements
- High School Diploma or GED
- 2+ years of work-related experience in healthcare related field, ie, 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 pays 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 that is free from distraction
Benefits
- PTO and benefits available after 30 days of employment
- Hybrid position offering the opportunity to work 3 days in the office and 2 days remotely
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
Billing Specialist managing end - to - end billing processes and client account balances at Transtar Insurance Brokers. Ensuring accurate invoicing and timely payment posting in a supportive environment.
Billing Coordinator managing customer service for billing inquiries and supporting billing functions at FCCI Insurance Group.
Billing Coordinator managing client invoicing and electronic billing processes in a leading law firm. Collaborating with finance team and ensuring compliance in the billing system.
Financial Analyst executing billing processes in a legal firm with 27 years of experience. Looking for dynamic individuals with good communication and autonomy in a hybrid work environment.
Billing Specialist at Verisk overseeing invoicing processes and customer interactions. Collaborating across departments to ensure accurate billing and compliance in a hybrid working environment.
Premium Billing Specialist providing customer support for insurance billing inquiries through phone and live chat. Handling payments and ensuring compliance standards in a health insurance environment.
Warranty & Billing Administrator overseeing warranty claims and aviation billing processes at Jetvia. Ensuring accurate documentation and timely reimbursements for aircraft maintenance activities.
Billing Specialist managing invoicing and receivables for SD Worx, a leading Payroll & HR services provider in Europe. Supporting financial tasks and process improvement initiatives in a hybrid role.
Utility Billing Clerk managing accurate billing and customer service for utility accounts at City of Hamilton. Ensures timely delivery of water - related services and support to clients.