- Verifies preparation and timely submission of all PDGM and FFS Home Health claims to assure prompt payment and contractual compliance.
- Monitors the processing of payments from insurance companies.
- Access accounts on clearing houses, EMR and portals daily.
- Assures that timely and accurate follow up aging activity is performed on all unpaid, underpaid, or overpaid insurance accounts, including Appeals and phone calls to insurance companies.
- 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.
- Knowledge of insurance companies required.
- Cash posting experience preferred.
- Medical billing experience required; home health 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.
- Positive work environment based on collaborative teamwork
- Continuing Education opportunities
- Excellent health benefits
- 401(k)
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Home Health Billing Representative - Albuquerque, United States - Corus Health
Description
Job Description
Job DescriptionCarem 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.
Duties & Responsibilities:
Requirements
Skills & Qualifications:
Benefits
Benefits & Allowances: