What are the responsibilities and job description for the Billing Specialist position at AW Health Care?
Description
AW Health Care is a St. Louis based, independently operated, women-owned enterprise. We recently celebrated 20th anniversary in the home health industry. AW is a rapidly growing home health agency, with an innovative approach to patient centered care. Our team consists of over 400 employees serving over 1500 patients in Missouri and Illinois.
AW Health Care Benefits:
AW Health Care offers its' employees a wide range of benefits including:
- Medical
- Dental
- Matching 401K
- Paid Time Off
- And a wide range of supplemental benefit options including, but not limited too:
- Life Insurance
- Short Term/Long Term Disability
- Accidental Death and Dismemberment
AW Health Care is currently seeking a full time Billing Specialist to work onsite in our University City, MO office. This position ensures accurate and timely processing of all third-party insurance, Medicaid, Medicare, Self-Pay and special programs as well as processes denials, rebills claims, follows up with insurance, submits appeals and collects on past due accounts.
Hours: Monday-Friday from 8:00AM-4:30PM, no weekends, no holidays.
Responsibilities:
- Prepares and submits clean claims to various insurance companies either electronically or by paper;
- Works directly with the insurance company, healthcare provider and patient to get a claim processed and paid;
- Answers questions from clerical staff and insurance companies;
- Follows and reports status of delinquent accounts;
- Reviews and appeals unpaid and denied claims;
- Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers;
- Participates in educational activities and attends meetings;
- Maintains strictest confidentiality;
- Verifies patients’ insurance coverage and authorizations;
- Ensures compliance with all insurance company requirements as they relate to enrollment and premium billing processes and turn-around timeframes;
- Prioritizes on the fly in an effort to continually shift to address the most pressing needs for the business;
- Organizes, investigates, and resolves issues in a timely and effective manner;
- Maintains positive attitude & professionalism with both clients & colleagues;
- Performs other task and projects, as needed;
- Works with tech personnel to troubleshoot and resolve technical issues;
Requirements
Qualifications:
- High School Diploma or GED
- Minimum of 5 years of prior medical billing
- Experience in CPT and ICD-10 coding
- Strong computer skills, including knowledge of Microsoft Office (WORD and Excel)
- Familiarity with Medical Terminology
- Ability to communicate with others, including customers, in a clear, understandable and professional manner on the phone, via email and in person; and the demonstrated use of good written (ie, good grammar/spelling) and verbal communication skills
- Ability to find solutions and manage relationships across departments
- Ability to Multi-Task and prioritize with limited direction
Physical Demands:
Sound physical and mental health. Moderate physical requirements.
Salary : $23 - $28
