- Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing practices.
- Manage the Ready to Bill queue on a daily basis; perform Quality Assurance to ensure accurate and timely creation of new claims and generic invoices; ensure submitted claims meet payer guidelines.
- Process confirmed tickets in "unworked" status within 48 hours of confirmation date; assign appropriate status to ensure proper handling by branch and billing personnel; make necessary demographic changes to reduce rejections of submitted electronic and paper claims.
- Work "resolved" unbilled tickets within 24 hours to "ready" or next status for resolution.
- Conduct billing utilizing most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions.
- Participate in branch Ready to Bill conference calls.
- Identify patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation and delivery tickets.
- Review delivery tickets for accuracy and complete claims per payer-specific guidelines.
- Submit secondary billing in a timely mannerwith appropriate supporting documentation per payer specific guidelines to ensure expected revenue is allowed.
- Research websites of assigned payers to bill for payer updates and shares updates accordingly.
- Communicate consistently and professionally with other Amerita employees.
- Work within specified deadlines and stressful situations.
- Work overtime when necessary to meet department goals and objectives.
- High School Diploma/GED or equivalent required; some college a plus
- A minimum of 3 to 4 years experience in medical billing with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
- Must have experience auditing documentation to insure compliance with payer requirements
- Working knowledge of automated billing systems, experience with CPR+ preferred
- Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
- Solid Microsoft Office skills, typing 40 wpm and proficiency with 10-key calculator
- Ability to independently obtain and interpret information
- Strong verbal and written communication skills
billing specialist - Aurora, United States - BrightSpring Health Services
Description
BILLING SPECIALIST
Job Locations
US-CO-AURORA
ID
Line of Business
Amerita
Position Type
Full-Time
Pay Min
USD $19.00/Hr.
Pay Max
USD $21.00/Hr.
Our Company
Amerita
Overview
Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for a Billing Specialist to join our Revenue Cycle Management team as we grow to be one of the top home infusion providers in the country. The Billing Specialist will report to the Billing Manager and work in our Centennial, CO office.
Amerita is an entrepreneurial-founded company and a wholly owned subsidiary of PharMerica. The home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita.
As a core member of the Billing team, you will be responsible for a broad range of billing processes related to managing the Ready to Bill unbilled revenue. We will help you achieve your goals through continuous professional development and regular career progression discussions.
High-quality, affordable benefits for all Full-time and Part-time Employees
* Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance
* 401(k) Retirement Plan with Employer Match
* Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
* Employee Discounts
* Tuition Reimbursement
* Paid Time Off & Holidays
*Position will be posted for a minimum of 7 business days
Responsibilities
As a Billing Specialist, you will...
- Ensure daily accomplishments work towards company goals for cash collections and Accounts Receivable over 90 days, Ready to Bill under 14 days, weekly and month-end close processes and other departmental goals as outlined.
Qualifications
About our Line of Business
Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visit Follow us on TwitterandLinkedIn.
Salary Range
USD $ $21.00 / Hour