• The Billing Specialist is responsible for the prompt and accurate submission of claims and processing of payments in accordance with company procedures, State, and federal regulations.
• Create, clean and submit claims via software and work claim rejections
• Prepare, review, and transmit claims and claim corrections using billing software, including electronic and paper claim processing.
• Responsible to understand prior authorization requirements and dates.
• Provide all necessary documentation required to expedite claim processing and payments.
• Coordinates with inter-departmental associates to obtain appropriate documentation as needed for billing
• Communicates with supervisor on a daily and/or weekly basis regarding any outstanding claims issues related to system, authorizations or other
• Conducts frequent phone contact with provider representatives.
• Verifies that payments received are correct and that claims are processed correctly against billing and industry standards and regulations and match our contract
• Follows up on reimbursement research and communications and required appeals in an efficient an timely manner
• Contact other departments or funders to resolve challenges. Make decisions or get approvals regarding questionable or unusual circumstances. Issue reports as needed or directed.

• Minimum of 3-5 years billing experience
• Solid technical skills in Word and Excel, and knowledge of accounting management software
• Hours of work: Monday to Friday (8:30am-5:00pm)

Kaleidoscope Family Solutions, Inc. (KFS) is a privately owned, Medicaid-approved agency. We have been providing quality services to individuals with disabilities since 2004. Since our inception, KFS has focused on in-home and in-community services that promote the healthy development of children, adults and families through one-on-one behavioral, educational, and daily-living supports.