Acumen Fiscal Agent ยท 1 month ago
Midwest Regional Billing Specialist
United States
Full-time
Remote
New Grad, Entry LevelAcumen, LLC. is one of the nation's leading fiscal agents offering innovative financial management services. The Midwest Regional Billing Specialist plays a critical role in ensuring accurate and timely billing processes, resolving billing exceptions, and collaborating with various teams to identify and resolve issues impacting claim submission and reimbursement.
Financial Services
Responsibilities
Run and analyze Pending and Missing Authorization Reports
Approve authorizations and escalate missing items to MCOs
Review claims stuck in exceptions (current and past 180 days)
Add issues to internal tracking spreadsheets
Resave claims to correct authorizations as needed
Identify exhausted claims and add to ACS Unbillable Claims spreadsheet
Identify and document clients who have lost eligibility
Run reports by service code to identify clients needing manual FMS claims
Review 'Texas Aggregation Results' and 'Verification Report.'
Identify failure reasons and take corrective actions in DCI or via IssueTrak
Maintain and update group eligibility batches
Compare TMHP data with DCI and report discrepancies
Notify AEB, Billing, and TX Managers of any changes
Attend weekly aging meetings to provide updates and receive feedback
Coordinate with Payroll, AEB, and Billing teams to resolve outstanding issues
Track IssueTrak progress and escalate as needed
Perform all other job-related duties as assigned
Familiarize themselves with all policies, procedures, standards, and guidelines and act accordingly
Qualification
Required
Experience in billing, Medicaid, or healthcare operations preferred
Strong analytical and problem-solving skills
Proficiency with DCI, TMHP, and data reporting tools
Excellent communication and collaboration abilities
Ability to manage multiple priorities and meet deadlines
Benefits
Medical, dental and vision coverage
Generous paid time off
Incentive bonuses to those who qualify
Company
Acumen Fiscal Agent
At Acumen Fiscal Agent, we strive to simplify life for veterans, aging adults, and individuals with physical, intellectual, and developmental disabilities by providing fiscal management services that have a positive and long-lasting impact on their lives.
Founded in 1995
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Austin Hancock
Chief Financial Officer
Matthew Dee
Chief Information Officer
Company data provided by crunchbase