BILLING SPECIALIST

Job Description

Job Description

Overview

Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global leader in evidenced based rehabilitation.

Who We Are:

GEO provides complementary, turnkey solutions for numerous government partners worldwide across a spectrum of diversified correctional and community reentry services. From the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes.

Why Work for GEO:

• We believe that work is more than a place you go to every day. It is about being inspired and motivated to achieve extraordinary things.
• Employee benefits play an important role in making The GEO Group a great place to work. At GEO, we believe in the three pillars of employee wellbeing: physical, emotional, and financial. With comprehensive benefits and competitive wages, we trust that you will find all the resources you need here to be successful.

Responsibilities

Summary
The Billing Specialist is responsible for generating all Managed Care Organization (MCO) billing and resolving unpaid claims identified on Accounts Receivable Aging and various other reports, and for reviewing and responding to all insurance billing-related correspondence.

Primary Duties and Responsibilities

• The Billing Specialist provides administrative and business support in preparing, updating, and monitoring program/facility budget requirements.
• Uses coded data to produce and submit invoices to MCO.
• The Billing Specialist ensures that claims formatting and data elements are following payer specifications.
• Works directly with MCO to get claims processed and paid.
• The Billing Specialist researches unpaid claims, determines and corrects cause, performs collection, and follow up as needed or bills alternative payor.
• Appeals and rebills underpaid or denied claims within payer deadlines.
• The Billing Specialist verifies patients' insurance coverage and seek timelyauthorization to treat and continued stay authorizations, as needed. Identifies denial trends and researches the root causes to report findings to Program Director for resolution.
• Identifies denial trends and research root causes and reports findings to supervisor for resolution.
• The Billing Specialist assists and monitor Accounts Receivable reports.
• Prepares itemized statements, bills or invoices, recording amounts due for services rendered. Maintains records of invoices and supporting documents.
• The Billing Specialist assists with posting of cash, reconciling accounts, and making authorized adjustments as needed.
• The Billing Specialist contacts customers to obtain or relay account information.
• Composes various daily, weekly, and monthly reports as assigned.
• The Billing Specialist completes data entry.
• Performs other duties as assigned.

Qualifications

Minimum Requirements

• High school diploma or equivalent and three (3) years of insurance billing experience.
• Medical coding certificate preferred.
• Ability to work with computers and the necessary software typically used by the department.
• Proficient with Excel preferred.
• Able to communicate effectively.

GEO Reentry Services LLC.