Manage full revenue cycle billing process :
Approve claims, batch files, transmit to clearinghouse, and reconcile responses.
not doing eligibility or verification of benefits
Post payments and resolve rejections or denials.
Investigate and correct issues related to payer setup, authorizations, and clearinghouse workflows.
Work within CareLogic (Qualifacts) EHR and Inovalon clearinghouse (training provided if unfamiliar).
Collaborate with finance leadership and program staff to troubleshoot billing discrepancies.
Maintain accuracy and timeliness in claim submission and payment posting.
Assist with workflow improvements and documentation of new processes.
2+ years of medical billing experience (clinic or similar setting preferred).
Strong understanding of RCM processes (start-to-finish billing cycle).
Experience with Medicaid billing, especially Colorado Medicaid (Medicaid waiver experience is a plus).
Familiarity with electronic health records (CareLogic preferred) and clearinghouse systems.
Ability to identify and resolve claim denials and rejections.
Excellent communication skills for interacting with internal teams.
Detail-oriented and proactive in problem-solving.
Ability to troubleshoot, communicate professionally, and work autonomously.
Experience with Qualifacts CareLogic and Inovalon clearinghouse.
Knowledge of behavioral health or early intervention billing processes.
Ability to work independently and adapt to evolving workflows.
#westpriority25
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following :
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About TEKsystems :
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Medical Billing Specialist • Lakewood, Colorado, United States