Resources for Human Development

Resources for Human Development.

  • Philadelphia, PA


  • $2072 per hour.

  • Irreversible.

  • Full-time.

Description/Job Summary

The Senior Billing Specialist is accountable for the billing, payment application and resolution of claims sent for services supplied and/or offering assistance and oversight over such activities for several programs or complicated programs

Resources for Human Development is a level playing field company. All certified candidates will get factor to consider for work without regard to race, color, age, religious beliefs, gender, gender identity, sexual preference, nationwide origin, hereditary info, veteran, or special needs status.

Responsibilities/Duties

  • Charge and Claim Processing –
  • Confirm that all services supplied have actually been gone into and/or tagged
  • Appropriately procedure all services to be billed
  • Timely submit all claims -main and secondary
  • Confirm effective transmission to the payors
  • Timely fix any transmission mistakes (HIPPA Desk, Payor up-front rejections, and so on)
  • Timely interact un-billable claims to alleviate prompt filing rejections
  • Claim Resolution –
  • Follow-up with payers to fix all re-submissions, rejections and appeals.
  • Communicate with insurance provider, program personnel and other internal stakeholders to settle billing problems and solve open claims
  • Work open claims methodically providing top priority to aged claims to fix balances in a prompt way
  • Respond to questions or act on problems and offer info to deal with impressive balances
  • Apply payments got to the proper open ARs; fix any application mistakes
  • Provide needed reporting of claims or service information to State funders and other payors
  • Partner with program workers making sure compliance with RHD Billing requirements or standards; makes suggestions and helps in application of suggestions
  • Assist with usage evaluation and permission management
  • Create and offer reports to examine billing and receivables
  • Maintain Fee Schedules in billing software application system
  • Complete all other tasks as appointed

Required Experience

  • Minimum of 3 years work experience with receivables, or monetary analysis for health care, psychological health and/or IDD billing systems experience in a high volume medical insurance coverage billing setting.

Required Education

  • High School Diploma needed.

Required Qualifications

  • Proficiency in Microsoft Office, Excel and Outlook
  • Ability to take a trip within the Divisional geographical location
  • Must be detailed oriented and need to have the capability to finish jobs with little guidance.
  • Experience with Netsmart Avatar application is a plus.

Program Summary

Resources for Human Development is a nationwide human services not-for-profit with the broadest possible service objective, and focuses on producing ingenious, quality services that support individuals of all capabilities anywhere the requirement exists. Established in 1970 RHD supports more than 160 human service programs throughout the nation, serving 10s of countless individuals every year with caring and reliable programs attending to intellectual and developmental impairments, behavioral health, homelessness, dependency healing and more.

Resources for Human Development.

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