Billing Specialist

BILLING SPECIALIST 

We’re Palco. We provide the management, support, and systems behind self-directed programs—the services that help people hire, pay, and manage their own caregivers with confidence. With 25+ years of experience as a national provider operating in over 17 states, we keep people at the center of everything we do. Through innovative technology and decades of expertise, we help states and partners run stronger, more compliant, and efficient programs. Our mission is to challenge the status quo and build smarter, more human-centered solutions that put power back in people’s hands. Want to learn more about joining our team? Visit www.palcofirst.com to explore opportunities. 

The Billing Specialist supports the Billing Manager in all billing-related matters within the Financial Management Services (FMS) Department. Primary tasks will include billing and reconciling within mandated timelines for all programs supported. The Billing Specialist must demonstrate financial and analytical skills necessary to provide ongoing guidance and decision support to management and assist in executing FMS department processes, procedures, and goals.

Duties and Responsibilities

• Understand and be able to execute all processes for billing programs timely and accurately.
• Prepare daily billing for all clients for management review.
• Generate and submit Electronic Data Interchange (EDI) processes for eligibility, claims and remittances.  
• Review, analyze, and assess billing data to identify and resolve discrepancies, denials, or reimbursement issues.
• Prepare or provide support for various ad-hoc projects initiated by management.
• Prepare and provide regular and ad-hoc reports to interested parties.
• Work with and support all clients, partners, and staff in FMS-related issues.
• Develop working relationships with partners and staff.
• Provide outstanding customer service to clients and business partners.
• Ensure company compliance with state and federal tax and regulatory authorities.
• Comply with HIPAA and other federal and state requirements.

Education and Qualifications

• Experience with Medicaid, MCO and Veteran billing required
• At least 2 years of billing experience. 
• Experience with HP, DXC Medicaid Billing systems preferred.
• Knowledge of EDI processes for eligibility, claims and remittances. 
• Must have good organization skills.
• Must have strong analytical and critical thinking skills.
• Must have a strong general understanding in tax, accounting, and finance areas.
• Must possess strong skills with email, internet, and Microsoft Office, including the use of Word, Excel, and file maintenance programs.
• Must have strong interpersonal and communication skills, both written and verbal.
• Must demonstrate strong attention to detail.
• Must be able to work independently under tight deadlines. 
• Must be willing to work Monday through Friday, 8:00am-5:00pm or additional time if necessary, to complete duties and responsibilities.

Join Us

• This position is remote/work-from-home role. Enjoy the convenience of working from home and maximize your time by unplugging at the end of your workday.

• Company benefits designed for you:
  • Generous Paid time off.
  • Annual bonus potential.
  • Retirement Savings: We will support you as you save for your future.
  • Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint.
  • Paid Training: Earn while you learn and continue to grow with access to internal and external learning opportunities.
  • Great Work Environment: We are proud of our company culture of collaboration and the recognition we have received for our diversity efforts. 

Benefits package:

• Employer shared Health Insurance cost
• Employer paid Disability Insurance
• Employer paid Life and AD&D Insurance
• Vision Insurance
• Cancer Insurance
• Voluntary Life Insurance
• Paid Time Off
• Remote work environment
• Paid holidays

When you join Palco, you are engaged in creating the future - both our company’s, the people we serve, and your own. We understand that our success is directly related to the success of our team. We strive to create a culture where you can:

• Bring your authentic self to work.
• Grow and thrive, both personally and professionally.
• Make a difference with our clients, in our communities, and with the millions of people we support.
• Experience work/life balance.
• Feel value and a greater purpose through the work you do.

Palco, Inc. is an Equal Employment Opportunity (EEO) employer and does not discriminate in any employer/employee relations based on race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.