What are the responsibilities and job description for the Billing Specialist for Home Care position at Alpha Care Home Health Services of NJ?
Fast growing Home Care Agency is looking for Home Health Biller and Insurance Follow up Representative to join its growing revenue cycle team!
Pay Rate: depends on experience!
Perks: SING-IN BONUS! Great benefits/ Full Time/Permanent
Requirements:
- At least 2 years of previous Medical Collections and Billings Experience in Home Health industry
- HHAExchange software experience, preferred.
- Extensive knowledge of all long-term insurance plans, Medicaid HMOs, and as well ICD-10 billing codes.
Responsibilities:
- Processes billing/follow-up functions to increase cash collections and decrease AR (i.e., checks claim status, responds to additional documentation requests, confirms insurance eligibility, updates patient demographics, authorizations, payer, and ICD-10 coding).
- Identifies claims processing issues and works through them for claims resolution.
- Expedites and maximizes payment of claims by contacting and following-up with communications to and from payers and patients via phone, online portals, email, fax, and mail.
- Performs claim negotiations and appeals.
- Processes denials and works down AR.
- Utilizes all available resources (i.e., explanation of benefits, payer/vendor websites), to ensure claims are adjudicated correctly.
- Updates billing system to ensure that follow-up actions are properly documented. * Completes detailed forms and reports accurately.
- Meets daily/monthly department goals.
- Manages changes in priorities based on business need.
- Ensures compliance with State and Federal guidelines.
- Possesses knowledge of payer specific guidelines.
- Performs additional duties as assigned.
Alpha Care Home Health Services of NJ, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran
Job Type: Full-time
Pay: $20.00 - $30.00 per hour
Benefits:
- Health insurance
- Paid time off
Schedule:
- 8 hour shift
Experience:
- ICD-10: 2 years (Required)
Work Location: In person
Salary : $20 - $30