Midwest Regional Billing Specialist at Rise Family

Job Details Acumen Kansas Office - Lenexa KS Fully Remote $23.00 - $25.00 Description ABOUT THE COMPANY Acumen LLC. is one of the nations leading fiscal agents offering a portfolio of innovative financial management services backed by superior customer service. Our passion is to help people lead independent lives through exceptional participant-directed programs. Acumen is a great place to work. Our employees make a positive difference in our clients lives by what they do. Among many benefits to working here we offer medical dental and vision coverage generous paid time off and incentive bonuses to those who qualify.OVERVIEW AND ESSENTIAL JOB FUNCTIONSThe Billing and Aging Support Specialist plays a critical role in ensuring accurate and timely billing processes across the Midwest regions. This position supports the resolution of billing exceptions Medicaid eligibility issues EVV aggregation failures and authorization discrepancies. The specialist will collaborate closely with Billing AEB (Texas) and Operations teams to proactively identify and resolve issues that impact claim submission and reimbursement.Kansas Region Support:ACS Authorizations (Daily):Run and analyze Pending and Missing Authorization Reports.Approve authorizations and escalate missing items to MCOs.Average 2 hours/day including research and resolution.Exceptions Dashboard (Daily):Review claims stuck in exceptions (current and past 180 days).Add issues to internal tracking spreadsheets.Resave claims to correct authorizations as needed.Average 2 hours/day.Unbillable Claims (Monthly):Identify exhausted claims and add to ACS Unbillable Claims spreadsheet.Approx. 2 hours/month.Medicaid Ineligibility Tracking (Daily):Identify and document clients who have lost eligibility.Under 1 hour/day.FMS Claims (Monthly):Run reports by service code to identify clients needing manual FMS claims.Build and bill 2030 claims manually.Approx. 4 hours/month.Texas Region Support:EVV Aggregation & Verification (Daily):Review Texas Aggregation Results and Verification Report.Identify failure reasons and take corrective actions in DCI or via IssueTrak.Use TMHP to verify Medicaid eligibility and notify relevant teams of changes.TMHP Monitoring (Monthly):Maintain and update group eligibility batches.Compare TMHP data with DCI and report discrepancies.Notify AEB Billing and TX Managers of any changes.Collaboration & Communication: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 assignedALL Acumen employees will be vigilant to support the positive compliant cybersecurity company posture by familiarizing themselves with all policies procedures standards and guidelines and act accordingly.Qualifications MINIMUM QUALIFICATIONSExperience 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.Acumen is an Equal Employment Opportunity (EEO) employer. We embrace diversity in all its form. We provide equal employment opportunities to all qualified applicants without regard to race color religion sex sexual orientation gender identity national origin age protected veteran or disabled status or genetic information.If you require reasonable accommodation for any part of the application process or hiring process please submit your request through one of the following methods listed below:(a) Dedicated fax (b) Dedicated email DISABILITY ACCOMMODATION REQUESTS ONLY(c) US mail - 4554 E Inverness Ave Mesa AZ 85206- Attn Human Resources(d) Dedicated phone 1- Option 1 (Employment Opportunities) DISABILITY ACCOMMODATION REQUESTS ONLYRequired Experience:IC Key Skills Medical Collection,Accounts Receivable,Athenahealth,ICD-10,Medical Coding,10 Key Calculator,Detailing,ICD-9,Medical Billing,Microsoft Excel,CPT Coding,Medicare Employment Type : Unclear Experience: years Vacancy: 1 Monthly Salary Salary: 23 - 25