Home Health Care / Senior Billing Specialist ** ( Bilingual; spanish/ english a plus)
Manages the day to day reimbursement, accounts receivable and billing process activities of the agency in accordance with agency policy and procedures, under the general direction of the CEO/ CFO.
Individual must be able to perform in a high volume and fast paced production environment with a high degree of accuracy and productivity .
This person will work with a billing assistant and company bookkeeper.
Qualifications;
Bachelors / or Associate degree in Accounting, Finance or Healthcare billing required. Preferable strong home care billing
experiences a plus.
Computer proficiency including, Microsoft Word and Excel.
Knowledge of Home care/ medical billing computer programs a plus
Ability to organize, self-motive and work independently.
Ability to problem solve with an attention to detail.
Strong verbal and written communication skills
Must possess good interpersonal skills and superior customer service skills to interact effectively with
service offices, clients, and payers.
Integrity and Confidentiality are qualities required for this position
Responsibilities:
Manage portfolio of patient/ vendor accounts.
Work closely with Bookkeeper, Billing Assistant and Home Care Manager daily
Process Weekly HHA field payroll with billing assistant
Process weekly billing and submit invoices to insurance companies and other payers.
Obtain and verify all pertinent financial documentation and information on new patient intakes, including contract cases to enable billing services
Enter weekly credit updates payments/ secure accounts receivable
Reviews payer documentation for appropriate payments and bills for co-pays as necessary. Understand and monitor electronic/
telephony time slips along with paper time slips.
Appropriately re-code claims to self-pay and verify in-eligibility using resources whenever possible
Perform updates to billing , new bill codes, new rate changes when and as required
Clearly communicate and define problems, root causes, and potential solutions to management.
Ability to verify 3rd party information and resubmit claims to all payers in timely manner
Contacts payers to resolve underpayments and denials.
Coordinates with service offices, including identification and correction of billing issues.
Advises significant payment issues and insurance benefit changes.
Review and research and re-bill 2nd party billing
Oversee billing Assistant as needed
Informs sup Advanced knowledge and understanding of UB92 and 1500 claim forms and data fields
Complete special projects as required by management
Understanding of electronic HIPAA transactions including 837I and 837P and data fields.
Difficult collection issues and patterns of non-payment.
Advises supervisor of computer generated inaccuracies or required program changes.
Updates patient file with new and corrected information including documenting all collection activity in the accounts receivable system.
Protects the integrity and confidentiality of company files.
Participates in special projects: prepares reports and presentations using Microsoft Office (Word, Excel, PowerPoint etc.)
Drafts and distributes professional/ Employee correspondence and announcements.
Opportunity to learn additional aspects of organization through technology training, hands-on learning, cross-training and site visits.
Maintains knowledge base of payer billing regulations, timely filing deadlines, and payment procedures.
Maintains acceptable standards of attendance, punctuality and dependability.
Job Benefits: Health, Paid Holidays, Vacations, Group Life Insurance
- Location: lower westchester county
- Compensation: Salary; $36,000- $38,000
- Principals only. Recruiters, please don't contact this job poster.
- Please, no phone calls about this job!
- Please do not contact job poster about other services, products or commercial interests.
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