Consumer Direct Care Network

Billing Analyst

US-MT-Missoula
4 weeks ago
ID
2017-1542
# of Openings
7
Category
Billing & Claims

Overview

Company: Consumer Direct Management Solutions

Position: Billing Analyst

Schedule: Full-time

Location: Missoula, MT

 

 

See why Consumer Direct is a great place to work by watching our video

 

 

POSITION OVERVIEW

 

Consumer Direct Management Solutions is seeking a Billing Analyst to join our Claims Department at our Missoula location. In this important role, you will be required to sit for long periods of time working with multiple computer systems processing payments from Medicaid so that we can receive funds for the care that we provide to our members. This role requires an enormous amount of attention to detail and patience to work on complex tasks for long periods of time. As a Billing Analyst you will be tasked with additional duties such as the investigation, correcting and resubmission of claims along with cross-department collaboration to ensure the proper processing of claims.

 

In the Consumer Direct Care Network our employees are committed, dependable, professional and accountable.  We value integrity, honesty and respect for others. We have high standards for how our employees conduct themselves at work and in the communities we support. Come join our team and be a part of a rewarding career helping others! 

 

WHAT YOU WILL DO

 

  • Prepare claims and/or invoices for all clients serviced by assigned program(s)/state(s).
  • Correct claims and/or invoices and resubmit as necessary. This task will require coordination with other Billing Team members, Branch Office staff, management and payers (i.e., State Medicaid, insurance companies, city/county agencies, public and private companies, and individuals).
  • Enter claim adjustments according to CDMS policy and procedure.
  • Meet timely filing requirements as set forth by our trading partners or payers.
  • Record denial codes, research unpaid claims, correct and re-submit claims for payment. Document this work in anticipation of having to prepare and submit an appeal for denied claims.
  • Ensure that electronic and paper claims are received by the trading partner or payer. Correct problems as necessary.
  • Attend weekly briefings and present progress reports regarding program specific Accounts Receivable.
  • Provide support for special projects within the Billing Department.
  • Identify and communicate billing and/or collection problems to Billing Team Lead.
  • Demonstrates full understanding of accounting principles, how transactions flow to their final destination and how this affects the end result on the financial statements.
  • Other duties as assigned by Billing Team Lead and Claims Manager.

 

QUALIFICATIONS

  • High School Diploma or Associate degree preferred
  • 1-3 years of experience in business/accounting required
  • Strong organizational/project management skills required
  • Effective interpersonal communication skills required
  • Strong knowledge of MS Office Suite required
  • Knowledge of Access or SQL database software and functions preferred
  • Knowledge of Medicare/Medicaid and associated claims processes
  • Ability and desire to learn new software and management systems
  • Demonstrated ability to organize work, interact effectively with others, adapt to change, and to prioritize multiple responsibilities in order to meet company objectives and milestones

 

 

 

WHAT’S IN IT FOR YOU

 

When you join Consumer Direct Care Network, you are exposed to numerous professional development opportunities during your hands-on, formal training. We welcome your contributions, value your integrity and champion your vision while we collaborate on work that moves us all toward a compassionate community. In our growing organization, we have a long history of helping individuals build their careers in the home care industry. It is truly a place where there is something for everyone. Whether your success is determined by a particular lifestyle you want to support, professional growth, or seeking new and challenging work. Our employees have a direct impact, vision and influence on an expanding nationwide company which has that small company feel. Your success will be richly rewarded.

 

Above all, you will experience career satisfaction of working in a culture built on its sense of care for not only the members we support in the community but our greatest asset, our people. That vision of care stems throughout the entire organization from the care we provide to making sure our people are appreciated, supported and employed with a company they can be proud to work and grow with. Caring for others comes naturally at Consumer Direct Care Network. Our deep history of connecting people and championing change has made us strong and resilient. Pride in our diversity and our strength of character build our capacity to care for one another. You benefit from our experience by being immersed in a fun, fulfilling work atmosphere geared toward helping others. We are proud of the longevity and loyalty that our employees show. Their commitment to doing good work is what makes us a leader in the industry.

 

As a Consumer Direct Care Network team member you will receive:

  • Medical, Dental and Vision for employees
  • Rewarding career helping others
  • Job satisfaction knowing you make a difference in the work you do and lives we serve
  • Fun and engaging work environment built on team unity
  • Paid Time Off , holiday and sick time available
  • Retirement planning
  • Professional training to help advance your skills for career development 

 

Your opportunities within our network are endless, it’s not just a job, it’s a career… advance it with the Consumer Direct Care Network!

 

 

 

The Consumer Direct Care Network and its subsidiaries are an Equal Opportunity Employer and drug-free workplace.

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