Sarasota, FL
Order: 78898
Order Type: Temp to Permanent
Home Health Billing Specialist (Lakewood Ranch/Remote)
$15 – $19/ HR DOE
Temp to Perm
Primary Tasks, Duties and Responsibilities:
1. Promotes and practices Stratum and Avidity objective and worths and follows all policies and treatments.
2. Prepares, evaluates, and sends costs to Medicaid, Managed Care, Private payers and client claims in accordance with payer requirements and organizational policy.
3. Evaluations and comprehends agreements that use to the locations and entities in the billing procedure.
4. Finishes insurance coverage confirmation, consisting of protection and advantages.
5. Starts case management procedure on clients needing permissions codes.
6. Screens permission durations to make sure ongoing permission of care.
7. Gets and addresses queries from insurance coverage sources/Case Managers concerning client status or getting upgraded permissions.
8. Records all payments as gotten, carries out regular monthly reconciliation of money invoices; and keeps receivables records and reports.
9. Research studies and deals with unapplied/unidentified payment activity as required.
10. Evaluations credit balances to identify origin, takes needed action to solve account.
11. Evaluations and fixes receivables bills/records prior to transmission or mailing.
12. Constantly deals with clearing rejections, rejections and returned claims, carrying out all essential follow-up to make sure collection of payments from Insurance suppliers.
13. Appropriately files accounts plainly with indications and status activity.
14. Finishes billing audits to guarantee precision and/or compliance.
15. Speak with suitable departments and workers concerning status of clients for billing functions.
16. Contacts Medical Records as required to obtain any details and records required for billing.
17. Continually aims to enhance procedures and preserve high requirements of quality and customer care.
Secondary Responsibilities:
Every incidental task gotten in touch with the Home Health Billing Specialist position can not be defined in the task description and the associate, at the discretion of the Director of Reimbursement might be needed to carry out responsibilities that are not consisted of in this task description.
Educational/Professional:
1. Associates Degree with one year previous Home Health billing associated experience chosen.
2. A comparable mix of expert experience and education might be thought about as satisfying the Education/ Professional requirements.
Knowledge, Skills and Abilities Required:
1. Shown experience in basic health care billing practices
2. Wellsky (Kinnser) experience highly chosen.
3. Properly carry out mathematical calculations and audit information to discover mistakes.
4. Capability to work well within a group environment and handle appointed jobs with minimal supervisory assistance.
5. Strong social, interaction and client service abilities.
6. Experience with Medicaid, Managed Care and Private payers chosen
7. Understanding and familiarity with medical terms.
8. Strong PC abilities, consisting of efficiency in Microsoft Office Suite, database applications and medical billing applications.
9. Capability to keyboard 30 wpm.
Ad-Vance.
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