9 days old
2018-04-132018-05-13

Home Health Billing Specialist

Virginia Beach, Virginia 23451

The Home Health Billing Specialist performs a variety of advanced duties involved in the billing and collections for skilled Home Health Care, Home Care, and Hospice services provided by Westminster-Canterbury and partners in accordance with established procedures and regulations.  Files accurate medical claims on a timely basis to Medicare, insurance companies, and responsible parties.  

Maintains an accurate accounting of insurance billing, payments, etc.  Assists patients and responsible parties with questions and concerns regarding their accounts.

Requirements

  • Enters information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information
  • Prepares bills/data for all pay sources, fulfilling individual requirements for each pay source in order to bill accurately
  • Adjusts any billing/data errors found on bill in a timely manner
  • Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form
  • Follows up with insurance company on unpaid or rejected claims, resolves issues, and re-submits claims
  • Responds to inquiries regarding all pay sources and verifies client coverage accurately and timely
  • Processes month-end billing and reports and prints them (bills and reports) for all pay sources, ensuring that each pay source is processed separately and in a timely manner
  • Fulfills individual requirements for processing and transmitting RAPs and final claims on an immediate and daily basis and confirms that transmission has been received by the MAC
  • Enters all contractual adjustments by the end of month closing including impact of LUPAs, SCICs and PEPs
  • Posts cash receipts to patient accounts; reviews remittance advises to confirm that expected payment was received; and follows up with payor and re-bills claims not paid or paid incorrectly
  • Reports credit balances and overpayments to pay source immediately
  • Records claims denials, investigates reasons, and re-bills, if possible
  • Collects accounts receivable from all pay sources, calls pay sources to collect accounts receivables in a timely manner, documenting on call sheet, and follows up with all unanswered claims
  • Compiles the aged trial balance within one week of month end close, or as otherwise directed, following up on outstanding balances and taking necessary action to resolve the balance
  • Handles all data confidentially and in compliance with HIPAA regulations
  • Serves as department liaison to Home Health partners
  • Performs other duties as requested, including temporary assignments/rotations

Qualifications:

  • Minimum two years of medical billing experience required, preferably skilled Home Health billing with an emphasis on Medicare and Commercial payers
  • Medicare PPS and/or Medicare physician billing experience preferred
  • Knowledge of general medical recordkeeping procedures
  • Knowledge of medical coding including ICD and CPT medical billing codes
  • Strong computer skills, including Microsoft Office (Word, Excel, Outlook) and the internet
  • Demonstrated proficiency in Allscripts or similar software preferred
  • Excellent interpersonal and communication skills (written and verbal)
  • Able to communicate well and demonstrate appropriate customer service with other staff, residents, and other third-parties
  • Able to handle multiple tasks simultaneously and react quickly under stringent timeframes to meet fixed deadlines
  • Organized and detail oriented
  • Must be willing to work overtime to meet billing deadlines
  • Demonstrated ability to establish and maintain effective working relationships with employees, residents, other agencies, and Home Health Partners

Benefits:

  • Medical Insurance Coverage First Day of Employment!
  • Dental Insurance Coverage First Day of Employment!
  • Paid Time Off (PTO)
  • Retirement Plan
  • Life Insurance
  • Scholarship Program for Employees/Family Members
  • Employee Assistance Program
  • Excellent Advancement Opportunities
  • Employee Discounts
  • WCCB Educational Partnerships include Tuition Discounts for employees and family members at more than 10 Higher Learning Institutions.
  • Long-term Disability Insurance
  • Short-term Disability Insurance
  • Vision

 

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Home Health Billing Specialist

Westminster Canterbury on Chesapeake Bay
Virginia Beach, Virginia 23451

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Home Health Billing Specialist

Westminster Canterbury on Chesapeake Bay
Virginia Beach, Virginia

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