Billing Specialist

About Sandata Technologies: Sandata Technologies is the leading supplier of software technology solutions serving home care and I/DD agencies, managed care organizations, and state payer programs throughout the United States. The Sandata solution has been implemented by 15,000 Provider Agencies, 22 State Payers, and 50 MCO Payers to ensure their compliance with changes in regulatory/compliance requirements and ongoing complexities. We make it easier for these organizations to work together and to manage their businesses while also getting paid as quickly as possible.

Why work here: At Sandata, we are committed to creating a real and measurable Diversity, Equity, and Inclusion initiative. We will create a work culture where we are curious, celebrate, respect, and appreciate our unique diverse stories, and how we've come to where we are. We will do everything possible so that people know that we care about them as an individual and work to build equity in our people, systems, and processes. We are continuing to grow our efforts, and we will grow further together.

This position is responsible for providing advanced Billing and AR software support to our clients through the courteous, efficient, accurate processing of client issues and requests in a timely and professional manner. The Sr Tier II Billing Specialist will assist our clients with Billing issues, financial reporting, 1/1 troubleshooting and escalation support for more complex billing and remittance review.

This position is remote, and the candidate can sit anywhere in the United States.

What you will do:

• Use expert questioning and listening skills to identify, research and resolve customer billing issues and requests
• Investigate, reproduce, and define billing and remittance issues based upon ticket information, customer input, State escalations, and relevant documentation
• Understand the billing process from the client side as well our product functionality to troubleshoot issues and determine the best path to resolution
• Document all customer inquiries through our CRM system and record subsequent communications
• Stay up to date on changes to billing processes and requirements and work internally to update resources and functionality
• Maintain knowledge of Sandata's clean claim process and clearinghouse protocols
• Display flexibility towards work schedule
• Assist in creating and presenting training materials for internal and external customers
• Provide feedback to representatives regarding ticket management and workflow processes specifically as it relates to the Billing processes
• Manage workload, workflow, and productivity to maximize efficiency
• Be able to interact with internal and external stakeholders
• Support team projects as they may occur to enhance the quality or efficiency of support

What you will bring:

• Strong analytical and problem-solving abilities
• Strong knowledge related to 835's and 837's
• Medicaid / Medicare billing experience required
• Billing and/or Accounts Receivable experience
• Prior software support background with call center/customer service experience
• Ability to learn and understand complex billing workflows related to the healthcare industry
• Ability to move quickly from project to project with attention to detail and accuracy.
• Previous health care experience a plus.
• Ability to understand complex data, file formats, billing formats, software, and processes

Communication Skills:

• Above average written, verbal and listening communication skills.
• Ability to trend data, create and deliver training.
• Proven ability to "divide and conquer" complex problems and then document and communicate their solutions.
• Strong interpersonal skills and the ability to work independently and in a team environment.
• Superior customer service skills.

Computer Skills:

• Skillful with Word, Excel, Adobe, Power Point and TFS and other web-based tools.
• Strong systems navigation skills.
• Computer hardware setup, connectivity troubleshooting and desktop support.

Education/Experience

• College degree preferred (Healthcare Administration /Public Health)
• 5+ years Medicaid / Medicare billing experience preferred
• 5+ years electronic billing experience
• Medical coding / billing subject matter expert
• 5+ years customer service experience
• Computer hardware setup and connectivity troubleshooting a plus
• 5+ years of IT/Healthcare related experience.

Perks and Benefits:

• Medical, dental, and vision coverage
• Flexible Spending Account for health and dependent care
• Health Savings Account
• BenefitsVIP/Health Advocate
• Company paid Life insurance and STD
• 401(k) Plan
• Aflac STD, LTD, Critical Illness, Hospital, and Accident insurance
• Employee Assistance Program
• Tuition reimbursement & paid certification programs
• In-house product training programs
• Catalog of training courses for skills development
• Career Pathing for every department
• Employee Resource Groups (BIPOC, LGBTQ, Women, Military Veterans)
• Paid vacation, sick days, and holidays
• Paid lunch break
• Employee discounts and company perks
• Casual work environment
• Remote work
Frequent employee events and fun social clubs

Sandata Technologies is an Equal Opportunity Employer M/F/Disabled/Vet