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    Home Health Billing Representative - Albuquerque, United States - Corus Health

    Corus Health
    Corus Health Albuquerque, United States

    2 weeks ago

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    Description

    Job Description

    Job Description

    Carem Support Services, one of the Corus Health family of companies, is actively seeking a Billing Representative to join our team This individual will be responsible for all revenue activities including, but not limited to, cash posting, billing, coordinating the reimbursement process, and maintaining compliance to all state and federal regulations while reporting directly to the Executive Director of Carem Support. If you are interested in being considered for this role based on your qualifications and experience, we encourage you to submit your resume for our consideration.

    Requirements

    Duties & Responsibilities:

    • Verifies preparation and timely submission of all Medicare claims and patient statements to assure prompt payment and contractual compliance.
    • Provides mentoring and coaching to reimbursement assistants while staying current on all program related Medicaid and Medicare laws and regulations.
    • Addresses escalations of questions from patients, staff, and insurance companies.
    • Certifies that all pre-bill auditing is completed to assure that all state and federal guidelines are followed
    • Monitors the processing of payments from insurance companies and patients.
    • Assures that timely and accurate follow up activity is performed on all invoices not paid within 60 days of submission
    • Coordinates all AR reporting and provides cash flow updates to Director of Reimbursement.
    • Participates in educational activities and attends monthly staff meetings.
    • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

    Skills & Qualifications:

    • Knowledge of insurance companies required.
    • Cash posting experience preferred.
    • Medical billing experience preferred.
    • Knowledge of healthcare billing/collection practices preferred.
    • Knowledge of computer programs.
    • Knowledge of business office procedures to include a basic understanding of accounting.
    • Understanding of third-party operating procedures and practices.
    • Ability to establish and maintain effective working relationships with patients, employees, and the public.
    • Must be well organized and detail-oriented.

    Benefits

    Benefits & Allowances:

    • Positive work environment based on collaborative teamwork
    • Continuing Education opportunities
    • Excellent health benefits
    • 401(k)
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