Job Description

About Carisk Partners, Inc.

Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors and other managed care organizations. Through its Pathways 2 Recovery care model, Carisk Partners aims to improve outcomes and reduce overall cost of quality care by applying best practices in a patient – centered approach to manage complex challenges for the group health, casualty and auto markets.

The Billing Specialist I is responsible for managing the billing process for the network of Providers to ensure accurate and timely payment of Provider invoices. This role involves maintaining billing records, resolving billing discrepancies, collaborating with other departments to support financial operations, and providing exceptional customer service.

Role Responsibilities

• Bill Review and Management: Review and verify billing data for medical and dental providers to ensure they are accurate and complete for payment.
• Billing Records Maintenance: Maintain and update customer information across multiple platforms to maintain accurate billing records.
• Provider Information Verification: Maintaining accurate records of multiple providers’ Tax ID, billing, and contact information to maintain accuracy across multiple platforms.
• Documentation: Maintain detailed records of all communications and transactions related to the processing of provider claims, payments, and applicable information.
• Billing Resolution: Resolve billing issues and discrepancies.
• Communication: Respond to incoming finance calls and email inquiries from providers and communicate with outside customers regarding billing issues.
• Additional Duties: Performing all other duties and assignments as directed by management.

Role Qualifications

This position requires a proactive individual with a strong attention to detail, strong analytical skills, exceptional communication abilities, and a thorough understanding of medical and dental billing processes. The Billing Specialist I plays a crucial role in ensuring the financial health of the organization by effectively managing provider claims processing and customer service.

• Prior medical billing and/ or collections experience in a healthcare setting.
• High School Diploma or equivalent.
• Intermediate level skills in Microsoft Office Applications.
• Ability to troubleshoot and solve problems.
• Analytical ability with adept skills in research.
• Exceptional communication skills, both written and verbal.
• Able to multi-task, follow procedures, and have active listening skills.
• Able to work well individually and in a team environment.
• Bilingual is a plus.

Culture and Benefits at Carisk

• 10 Paid Company Holidays.
• Paid Time Off.
• Competitive Medical, Dental, and Vision Insurance.
• Company Sponsored Life Insurance.
• Supplemental Life Insurance, Short/Long Term Disability, Employee Assistance Program, Flexible Spending Account, and many other Ancillary Benefits.
• 401(k) Retirement Plan with Company Match.
• ClassPass Wellness Program.
• Employee Discount Program .
• Flexible and Hybrid Schedule Options*.
• Internal Education Programs and Tuition Reimbursement Options.
• Internal Advancement Opportunities.
• Company-Wide Diversity and Holiday Celebrations.
• Best Places to Work Award Recipient 5 years in a row!

*Schedule options and work location vary between departments and management approval

Carisk Partners provides equal employment opportunities to all employees and applicants for employment, and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.