Home Health Medical Biller Job at Best Home Healthcare Network
This is not a remote position, candidates must take commuting into consideration when applying.
Best Home Healthcare Network is Chicagoland’s most comprehensive post-acute home healthcare agency. Our business model is to treat each patient the same way we would treat our parents, siblings or children. We accomplish this through state-of-the-art technology, quality nursing and therapy, good old-fashioned care and compassion.
Why work for us?
- Development - We pride ourselves on employing people we envision to be future leaders. The investment we make in our people is to strategically position them to take on larger roles with the growth of our agency.
- Experience - We strive to build a community driven to serve patients in the best way we can. To build this vision we believe in building bonds among our people through a wide variety of activities from group outings to service projects.
Don’t believe us? Check out what our employees have to say:
Glassdoor - https://www.glassdoor.com/Reviews/Best-Home-Healthcare-Network-Reviews-E1335080.htm
Job Summary
The Medical Billing Specialist is responsible for managing accurate, timely completion and submission of all billing, collections, and accounts receivable functions associated with home health claims.
Job Responsibilities
- Ensures reimbursement through efficient billing and collections operations and effective accounts receivable management.
- Provides oversight and approval of claims audits and processing. Conducts final billing audit and issues assignments to pre-billing team when findings require further documentation.
- Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions. Represents and acts on behalf of agency in resolving conflicts with payers.
- Advises Supervisor in matters of accepting/declining problematic payers.
- Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for appropriate agency personnel.
- Monitors aged accounts receivables and resubmit bills to overdue accounts, submits seriously overdue accounts to collection agencies for collection, and prepares bad debt reports for weekly meetings.
- Gathers, collates, and reports key billing information to billing team. Works with Executive Leadership Team in strategizing monthly, quarterly, and annual goals for optimized billing efficiency.
- Collaborates with the CEO in successfully reconciling the billing system reports with the general ledger.
- Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
- Supervises and reconciles cash receipts and bank deposits according to policy.
- Establishes and maintains positive working relationships with patients, family members, payers, and referral sources.
- Ensures that billing and patient accounts record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, federal and CHAP regulations.
- Protects the confidentiality of patient and agency information through effective controls and direct supervision of billing operations.
Qualifications
- Associate degree in Accounting, Business Administration or related field or billing and coding certification.
- 3+ years in healthcare billing and collections management preferably in home health operations. Billing information systems knowledge required.
- Ability to exercise discretion and independent judgment and demonstrate good communication, negotiation, and public relations skills.
- Demonstrated capability to accurately manage detailed information.
- Able to deal tactfully with patients, family members, referral sources and payers.
- Demonstrates autonomy, assertiveness, flexibility, and cooperation in performing job responsibilities.
- Experience with Axxess EMR is preferable.
- Experience with Google and Microsoft Suites.
Job Type: Full-time
Pay: From $55,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
- Weekend availability
Ability to commute/relocate:
- Chicago, IL 60605: Reliably commute or planning to relocate before starting work (Required)
Experience:
- PDGM: 1 year (Required)
- Billing for Home health: 1 year (Required)
Work Location: Hybrid remote in Chicago, IL 60605
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