Billing Specialist Urgently Hiring

lt;div class=quot;benefitsquot;gt; lt;divgt;lt;stronggt;Benefits:lt;/stronggt;lt;/divgt; lt;ulgt; lt;ligt;401(k)lt;/ligt; lt;ligt;Flexible schedulelt;/ligt; lt;ligt;Parental leavelt;/ligt; lt;/ulgt; lt;/divgt; lt;div class=quot;trix-contentquot;gt; lt;divgt; lt;stronggt;Minimum 3 years#39; experience in billing and claimslt;/stronggt;lt;brgt;lt;brgt;lt;stronggt;Position Summarylt;brgt;lt;/stronggt;lt;brgt; lt;/divgt;lt;divgt;The Billing amp; Credentialing Specialist is responsible for managing all aspects of medical billing, Medicaid claims processing, long-term care billing, provider credentialing, and weekly invoicing. This role ensures timely and accurate reimbursement, regulatory compliance, and proper maintenance of payer contracts and provider enrollments.lt;brgt;lt;brgt; lt;/divgt;lt;divgt;The ideal candidate demonstrates strong attention to detail, knowledge of healthcare billing systems, and the ability to meet strict deadlines.lt;brgt;lt;brgt; lt;/divgt;lt;divgt; lt;stronggt;Primary Responsibilitieslt;brgt;lt;/stronggt;lt;brgt; lt;/divgt;lt;divgt; lt;stronggt;Medicaid Billing amp; Claims Managementlt;brgt;lt;/stronggt;lt;brgt; lt;/divgt;lt;ulgt; lt;ligt; lt;brgt;lt;brgt;Submit accurate Medicaid claims in accordance with state guidelines.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Monitor claim status and resolve denials, rejections, and underpayments.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Ensure proper coding and documentation compliance.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Reconcile payments and post remittances accurately.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Maintain knowledge of NCTracks (or applicable state Medicaid portal).lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Communicate with Medicaid representatives as needed.lt;/ligt; lt;/ulgt;lt;divgt; lt;stronggt;Long-Term Care (LTC) Billinglt;brgt;lt;/stronggt;lt;brgt; lt;/divgt;lt;ulgt; lt;ligt; lt;brgt;lt;brgt;Process and submit long-term care billing claims.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Verify patient eligibility and authorization requirements.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Coordinate with case managers and facility administrators.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Reconcile LTC payments and manage outstanding balances.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Maintain documentation to support claims and audits.lt;/ligt; lt;/ulgt;lt;divgt; lt;stronggt;Provider Credentialinglt;brgt;lt;/stronggt;lt;brgt; lt;/divgt;lt;ulgt; lt;ligt; lt;brgt;lt;brgt;Complete initial and re-credentialing applications for Medicaid, managed care plans, and other payers.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Maintain provider enrollment records, NPIs, CAQH profiles, and state licenses.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Track credentialing expiration dates and ensure timely renewals.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Submit and follow up on payer contracts and amendments.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Maintain compliance with federal and state healthcare regulations.lt;/ligt; lt;/ulgt;lt;divgt; lt;stronggt;Weekly Invoicinglt;brgt;lt;/stronggt;lt;brgt; lt;/divgt;lt;ulgt; lt;ligt; lt;brgt;lt;brgt;Generate and send weekly invoices to:lt;ulgt; lt;ligt; lt;brgt;lt;brgt;Private pay clientslt;/ligt; lt;ligt; lt;brgt;lt;brgt;Managed care organizationslt;/ligt; lt;ligt; lt;brgt;lt;brgt;Transportation brokers (if applicable)lt;/ligt; lt;/ulgt; lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Verify service logs on Carescout LTC or LTC before invoicing.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Track payments and follow up on outstanding balances.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Maintain accurate accounts receivable records.lt;/ligt; lt;/ulgt;lt;divgt; lt;stronggt;Reporting amp; Compliancelt;brgt;lt;/stronggt;lt;brgt; lt;/divgt;lt;ulgt; lt;ligt; lt;brgt;lt;brgt;Prepare weekly billing reports for leadership.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Maintain HIPAA compliance and protect confidential information.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Assist with audits and documentation requests.lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Identify billing trends and recommend process improvements.lt;/ligt; lt;/ulgt;lt;divgt; lt;stronggt;Qualificationslt;brgt;lt;/stronggt;lt;brgt; lt;/divgt;lt;ulgt; lt;ligt; lt;brgt;lt;brgt;Minimum 2–3 years healthcare billing experience (Home Care, NEMT, or LTC preferred)lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Experience with Medicaid billing (NC preferred)lt;/ligt; lt;ligt; lt;brgt;lt;brgt;Knowledge of long-term care billing procedureslt;/ligt; lt;ligt; lt;brgt;lt;brgt;Experience with provider credentialinglt;/ligt; lt;ligt; lt;brgt;lt;brgt;Proficiency in billing software and EMR/EVV systemslt;/ligt; lt;ligt; lt;brgt;lt;brgt;Strong knowledge of HIPAA regulationslt;/ligt; lt;ligt; lt;brgt;lt;brgt;Excellent attention to detail and organizational skillslt;/ligt; lt;ligt; lt;brgt;lt;brgt;Strong written and verbal communication skillslt;/ligt; lt;/ulgt;lt;divgt;This Independent Contractor Agreement lt;stronggt;may be terminated at any time, with or without cause, by either partylt;/stronggt; upon written or verbal notice.lt;brgt;lt;brgt; lt;/divgt;lt;divgt;●  Sky Heart Home Care Services reserves the right to lt;stronggt;terminate this agreement lt;/stronggt;immediately, without notice, for any of the following, including but not limited to:lt;/divgt;lt;divgt;●  Breach of confidentialitylt;/divgt;lt;divgt;●  HIPAA violationslt;/divgt;lt;divgt;●  Misrepresentation of serviceslt;/divgt;lt;divgt;●  Failure to perform assigned dutieslt;/divgt;lt;divgt;●  Insubordination or unprofessional conductlt;/divgt;lt;divgt;●  Fraud, theft, or misconductlt;/divgt;lt;divgt;●  Conflict of interestlt;/divgt;lt;divgt;●  Non-compliance with policieslt;/divgt;lt;divgt;●  Damage to company reputationlt;/divgt;lt;divgt; lt;/divgt;lt;divgt;Upon termination:lt;/divgt;lt;divgt;●  Contractor access to all systems, records, and files will be immediately revokedlt;/divgt;lt;divgt;●  All company property must be returned within 24 hourslt;/divgt;lt;divgt;●  Final compensation will be issued only for approved completed worklt;/divgt;lt;divgt; lt;brgt;lt;brgt; lt;/divgt;lt;divgt; lt;brgt;Because this position is classified as an lt;stronggt;Independent Contractor (1099)lt;/stronggt;:lt;brgt;lt;brgt; lt;/divgt;lt;divgt;●  No unemployment insurance is paid by Sky Heartlt;/divgt;lt;divgt;●  Contractor is NOT eligible for North Carolina unemployment benefitslt;/divgt;lt;divgt;●  Contractor waives any right to file for unemployment compensationlt;/divgt;lt;divgt;●  Any unemployment claim filed will be formally disputed by Sky Heart with documentation of 1099 statuslt;/divgt;lt;divgt; lt;stronggt;Performance Expectationslt;brgt;lt;/stronggt;lt;brgt; lt;/divgt;lt;ulgt; lt;ligt; lt;brgt;lt;brgt;Claims submitted within required timelineslt;/ligt; lt;ligt; lt;brgt;lt;brgt;Denial rate maintained below company benchmarklt;/ligt; lt;ligt; lt;brgt;lt;brgt;Credentialing renewals completed before expirationlt;/ligt; lt;ligt; lt;brgt;lt;brgt;Weekly invoices sent on time without errorslt;/ligt; lt;ligt; lt;brgt;lt;brgt;Accurate reporting and reconciliationlt;/ligt; lt;/ulgt; lt;/divgt;