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Patient Billing Representative - COMCARE

Date: Sep 19, 2022

Location: Wichita, KS, US

Company: Sedgwick County

Department:  COMCARE 

Pay:  This position has been approved for a pay increase from $13.96 to $18.23 per hour, and the new rate of pay will be implemented in October. Individuals hired prior to the implementation will receive a retro payment based on their hire date.  

Work Schedule: M - F, 8a - 5p  

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.

 

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

 

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

 

Minimum Qualifications: High School Diploma or equivalent. One year office or administrative support. Must meet minimum scores on identified skills testing. Post-Interview test required is MS Excel 70%. Meet the specifications as outlined in the CMHC licensing standards and pass KBI, SRS child abuse check, and adult abuse registry screens.  Must complete orientations provided by Sedgwick County and COMCARE. In order to comply with the requirements of the federal health care staff COVID-19 vaccination mandate, all employees of COMCARE and the Health Department must be fully vaccinated. All offers of employment are contingent upon submission of vaccination documentation prior to start date. 

 

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

 

It is the policy of Sedgwick County not to discriminate in its programs or services provided to the general public, including employment and all other activities, on the basis of race, color, religion, national origin, citizenship, sex, age, disability, veteran status or any other similarly protected status. Sedgwick County is committed to making the application, interview, and pre-employment testing process accessible to persons with disabilities. If you wish to volunteer information regarding any special assistance you may need, please notify Human Resources by phone at (316) 660-7050, TDD (Kansas Relay at 711 or 800-766-3777). Do not use this phone number for employment questions. This number is provided only for those requiring ADA assistance. You will be contacted should the department feel that you are a qualified candidate.


Nearest Major Market: Wichita

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