COMCARE Billing Specialist - COMCARE

Department:  COMCARE 

Pay:  $18.60 per hour.  

Work Schedule: Monday-Friday, 8:00am-5:00pm  

Sedgwick County offers a comprehensive benefits package for full-time employees that includes health coverages, paid leave, regular compensation reviews, retirement plans, and professional development opportunities.  For more detailed information, please visit our benefits page at SCBenefits.

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

Minimum Qualifications:  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.

Preferred Qualifications: Coursework in HealthCare billing.  One (1) year experience in healthcare billing or related field.

Applicants have rights under Federal Employment Laws. Please find more information under the following link.  Apply for a Job | Sedgwick County, Kansas