Job Details

Culture Vision at Consumer Direct Care NetworkAt CDCN, we strive to create a workplace where everyone is supported and motivated to be their best; we collaborate on shared goals and celebrate our accomplishments.WE WELCOME YOU INTO A GROWING COMPANYConsumer Direct Care Network is all about caring for people. Care is at our core, and we strive to live up to it every single day. We are currently providing services in 14 states across the USA. We specialize in providing home and community-based services that support individuals with disabilities and older adults so they can remain in their homes and communities.JOB SUMMARYBilling Analysts are responsible for the creation, payment processing, and reconciliation of all claims submitted to payers on behalf of CDCN. They ensure that all claims for payment are submitted by the timely filing deadlines of the payers, that payments received are applied as efficiently as possible, and that adjustments and denials are handled within the timely filing requirements of each individual payer contract. They attain and use an understanding of invoicing and payment processing to work any potential claim issues and outstanding balances.JOB DUTIESWork with multiple computer systems (Excel, Office, Solomon, and Docuware) to process payments to ensure Consumer Direct Care Network receives payments for the care provided to our caregivers and members.Create claims and bill payers for reimbursement of the services provided.Post and reconcile payments.Effectively communicate verbally and in writing.Comply with applicable legal requirements, standards, policies, and procedures.Demonstrate effective problem-solving and decision-making skills.Maintain necessary skills and knowledge to coordinate workflow.Participate in professional development and training activities.Prioritize and multitask effectively.Prepare claims and bill payers for services provided by assigned programs and states.Resubmit claims for payment when necessary according to procedures and processes specific to each payer.Engage in and facilitate positive and cohesive team environments.Record denial, short pay, and pending notes in the appropriate format.Process and reconcile claims payments.Ensure claims are received and accepted by the payer.Develop skills to communicate directly with payer and program office when needed.Basic understanding of aged receivables and the ability to execute the basic steps necessary to resolve nonpayment such as: Identify items nearest timely filing, Research and correct errors, Expedite rebilling, Document actions.Other duties as assigned.QUALIFICATIONSMicrosoft Office experience preferred.High School Diploma preferred.Prior office experience preferred.Prior medical billing experience preferred.Be able to successfully pass a background screening.Employees must provide their own reliable internet if working a remote/hybrid position.The incumbent typically works in an office environment and uses a computer, telephone and other office equipment as needed to perform duties. The noise level in the work environment is typical of that of an office. Incumbent may encounter frequent interruptions throughout the workday. The employee is regularly required to sit, talk, or hear; frequently required to use repetitive hand motion, handle or feel, and to stand, walk, reach, bend or lift up to 20 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.WHAT'S IN IT FOR YOUWhen you join Consumer Direct Care Network, you will be exposed to numerous professional development opportunities. We welcome your contributions and value your integrity as we collaborate on work that moves us all toward a compassionate community. We have a long history of helping individuals build their careers in the home-care industry. This is truly a place where there is something for everyone, whether you are looking to support a particular lifestyle, seeking professional growth, or seeking new and challenging work, all in an expanding nationwide company with that small-company feel. Most importantly, you will experience the satisfaction of working in a culture built on caring. Caring for others comes naturally at Consumer Direct Care Network, based on our long history of connecting people and championing change, all geared toward helping others. We are proud of the longevity and loyalty of our employees. 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:A rewarding career helping others.Fun and engaging work environment built on team unity.Job satisfaction knowing you make a difference in the work you do and lives we serve.Professional training to help advance your skills for career development.Based on your position and employment status, you may be eligible for:Medical, Dental, and Vision Insurance.Accrued Vacation with no waiting period.Two Paid Floating Holidays.Paid Safe Sick Time with no waiting period.Company-Paid Life Insurance.Supplemental Life, Accident, Critical Illness, and Hospital benefits.Short and Long-Term Disability.Flexible Spending Account.Employee Assistance Program.Pet Insurance.WHO WE AREConsumer Direct Care Network specializes in home and community-based services that assist older adults and individuals of all ages with disabilities and impairments to continue to live their lives independently in their own homes and communities. We provide coordinated service delivery in 14 states and the District of Columbia. Our services span from financial management services and support brokerage to traditional agency in-home care and caregiving to behavioral health. We have extensive experience with Medicaid, Medicare, private insurance, and with supporting people who pay for their own care.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. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.In accordance with the Immigration and Reform Control Act (IRCA), you may only work at Consumer Direct Care Network if you are legally authorized to work in the United States. Consumer Direct Care Network does not provide visa sponsorship or STEM OPT extensions to employees.
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