Billing and Accounts Receivable Specialist

N A Retail Ltd - Fort Worth, TX

Full-time - Entry Level

Fort Worth, TX

Administrative and Support Services

About the position

Caregiver, Inc. is a leading Texas-based provider of services to adults with intellectual and developmental disabilities (IDD). We are dedicated to supporting our clients through the design, delivery, and management of personalized treatment plans that help them lead their best lives. We are currently seeking a Billing and Accounts Receivable (A/R) Specialist to join our team. This position is crucial in managing billing operations, ensuring accurate and timely reimbursement, and maintaining strong relationships with clients, funding sources, and relevant stakeholders. The Billing and A/R Specialist will be responsible for reviewing client documentation, service logs, and program notes to ensure accurate billing and adherence to regulations. This role requires a comprehensive understanding of healthcare billing processes, exceptional attention to detail, and excellent communication skills. The specialist will prepare and submit billing claims to funding sources such as Medicaid, insurance companies, and government agencies, ensuring proper coding of services rendered to maximize reimbursement. In addition to billing operations, the specialist will manage accounts receivable by generating and sending accurate invoices, monitoring and reconciling accounts receivable aging, and implementing effective collection strategies to minimize overdue accounts. The role also involves maintaining organized financial records, preparing periodic reports related to accounts receivable, and assisting in month-end and year-end closing activities. The ideal candidate will identify opportunities to streamline billing processes while ensuring compliance with regulatory guidelines specific to the IDD industry. They will also respond to client and funding source inquiries, resolve billing-related issues, and maintain positive relationships with all stakeholders. This position is not only about numbers; it’s about making a difference in the lives of those we serve by ensuring they receive the care and support they need.

Responsibilities

• Review client documentation, service logs, and program notes to ensure accurate billing and adherence to regulations.
• Prepare and submit billing claims to funding sources, such as Medicaid, insurance companies, and government agencies.
• Verify billing data for accuracy, including services provided, units billed, and applicable rates.
• Ensure proper coding of services rendered to meet billing requirements and maximize reimbursement.
• Collaborate with program directors, case managers, and service providers to resolve billing discrepancies and address documentation issues.
• Generate and send accurate invoices to clients and funding sources based on contractual agreements and regulatory guidelines.
• Monitor and reconcile accounts receivable aging, ensuring timely collection of payments.
• Collaborate with clients, funding sources, and internal stakeholders to address billing inquiries, resolve disputes, and ensure accurate billing and reimbursement.
• Implement effective collection strategies to minimize overdue accounts and improve cash flow.
• Maintain accurate and up-to-date records of billing and payment activities.
• Maintain organized and up-to-date financial records, including invoices, remittance advice, and billing documentation.
• Prepare and distribute periodic reports related to accounts receivable, billing, collections, and reimbursement.
• Assist in month-end and year-end closing activities, including reconciliations and financial reporting.
• Provide support during internal and external audits by preparing relevant documentation and information.
• Identify opportunities to streamline and enhance billing processes while ensuring compliance with regulatory guidelines specific to the IDD industry.
• Stay updated with evolving billing and reimbursement regulations and communicate changes to the finance team.
• Collaborate with cross-functional teams to implement process improvements, ensure data integrity, and maintain compliance.
• Assist in the development and documentation of billing and reimbursement policies and procedures.
• Respond to client and funding source inquiries and resolve billing-related issues in a professional and timely manner.
• Maintain positive relationships with clients, funding sources, and internal stakeholders, providing excellent customer service.

Requirements

• Proven experience in billing and accounts receivable within the IDD industry, understanding the specific billing and reimbursement requirements.
• Strong knowledge of Medicaid and other funding source regulations and guidelines.
• Familiarity with electronic billing systems and proficiency in using accounting software and MS Excel.
• Excellent attention to detail and accuracy, particularly in working with complex billing codes and documentation.
• Strong analytical and problem-solving skills.
• Effective communication and interpersonal skills to interact with clients, funding sources, and internal stakeholders.
• Ability to work independently and collaboratively in a team environment.
• Strong organizational and time management skills.
• Knowledge of billing compliance regulations and ability to maintain confidentiality.
• Bachelor's degree in accounting, finance, or a related field (or equivalent work experience).
• Experience with billing software and Zirmed.

Benefits

• 401(k)
• Dental insurance
• Life insurance
• Tuition reimbursement
• Vision insurance
• FREE virtual doctor visits and prescription DISCOUNT card for ALL employees AND family, save hundreds per visit!
• NO CREDIT CHECK bank accounts to all employees with cash advance opportunities.
• $10,000 in tuition reimbursement annually for full-time eligible employees.
• $10,000 in life insurance for all employees at no cost.
• Medical, Dental, Vision, Voluntary Life Insurance