Billing Coordinator WFH Flexible - Fridley, MN

Description

At Rise, we believe that everyone deserves opportunities to live a life filled with purpose and pride. In our employment, housing, and life-enrichment services, we support people to set and achieve their personal goals. As a nonprofit, every Rise team member is driven by our mission. That shared commitment is the foundation of a workplace that embraces a culture of learning and growth by offering extensive training, competitive salaries, and a fun work environment. We are an inspiring leader in disability services that wants to make a real difference in people's lives!

Job Summary :

The purpose of this position is to coordinate and ensure the accuracy and timeliness of billing records and documentation for various program services and funding sources.

Essential Job Functions :

• Manage payer relationships and contracts, including changes in contract terms and conditions.
• Monitor billing setup in MyEvolv software system and verify that all necessary information is in place, such as details related to services provided, person served eligibility, and funding sources (such as Medicaid, DEED-VRS, County, WI-DVR and MCO).
• Review internal billing workflow and identify areas for improvement or optimization. Understand and utilize the billing roles and functions in the MyEvolv software system, including benefit assignments, billing rules, and other linkages pertinent to billing.
• Assist program managers in preparing billing according to the established deadlines and procedures by gathering, organizing, and entering relevant data as necessary.
• Collaborate with internal team members to maximize the percentage of clean claims. Troubleshoot and resolve any process or system problems that may affect billing operations.
• Work with billing specialists, administrative staff, and various funding sources including governmental and commercial insurance (such as Medicaid, DEED-VRS, County, WI-DVR and MCO) to address denied claims and other billing discrepancies or issues.
• Collaborate with internal team members to manage accounts receivable and assist in collections.
• Perform quality assurance and internal auditing tasks to ensure that billing codes, rules, rates, and other relevant details align with regulations and guidelines.

Requirements

Key Competencies

Required Education, Experience, and other Qualifications

Wage and Benefits :

Are you looking to work with a diverse team of professionals? Do you want to work in a fun environment while supporting others to live a life of possibilities? Then join Rise, Inc.!

Rise values being a person-centered organization. This impacts how we carry out services for the people we support and our organizational culture. We encourage people's unique individual differences and celebrate the ways our team members contribute to our community. We believe in a workplace informed by differing viewpoints and perspectives created from a diverse team and welcome people of all races, genders, ages, nationalities, religions, sexual orientations, and backgrounds to apply. Our goal is that those we serve, and our team members always feel valued and respected.

EEO / AA / E-Verify