Medical Billing Specialist (Not Remote)

Who We Are…

BRiO Home Health and Hospice provides caring and comprehensive home health and hospice services to residents of Eastern Idaho. We customize care to meet our patients’ unique needs along with extending empathy and support to our patients and their loved ones.

Our core value of family reminds us how important our patients and colleagues are to each of us. We are driven to provide the finest patient care, while holding ourselves to the highest ethical standards. We find fun in bringing each other up in even some of the hardest times. Above all, we are kind to everyone as we enjoy serving our communities every day.

• Will verify patient insurance, obtaining all appropriate information, including but not limited to effective date, any termination date, applicable deductible, applicable co-insurance/co-pay amounts, applicable out of pocket amount, prior authorization requirements, visit limits for any discipline, home health/hospice benefit including any non-covered services, verify therapy in home health vs outpatient therapy benefits, homebound requirements, and any accumulations
• Be able to clearly and correctly quote benefit coverage to patients
• Timely and accurately obtain and maintain prior authorization of services, if applicable by insurance.
• Verify all appropriate documents, visits, orders, and any applicable RAP/NOA claims are processed and in chart prior to billing.
• Communicate with DON/ADON, medical records, and clinicians to obtain/complete any missing items.
• Submit/bill ready claims through Clearinghouse.
• Follow up on billed claims (AR follow-up) to make sure they are on file and in process with insurance.
• If any issues arise during claims processing, follow up on next steps (reconsideration/appeal/rebill corrected claim)
• After claim processes appropriately with insurance, transfer to and bill the patient for any applicable patient responsibility.
• Obtain, review for accuracy, and post insurance payments.
• Send monthly statements to patients.
• Follow up with patient on outstanding balances.
• Send collection warnings with outstanding balances accordingly.
• Obtain all appropriate documents needed to send a patient’s balance to collections and email to Administrator for further action.
• Must demonstrate support of the mission, vision, and values of the organization.
• Expected to contribute to the strategic planning, day -to-day operations and attainment of the strategic initiatives of the organization.
• Understand and adheres to established Agency policies and procedures.
• Work with messaging system
• Serve as a role model for all colleagues by setting an example of high standards in dress, conduct, cooperation, and job performance.
• Provide accurate and timely follow up and follow through to team members, providers, and patients
• Monitor appropriate daily workloads of team members
• Serve as a point resource person to team members with welcoming, approachable, open-door policy
• During IDT and when opportunities arise, share your knowledge with team
• Have open relationship with HH DON and ADON, Hospice DON and ADON, and entire team
• Be available and flexible to cover other types of office positions as needed.
• Participate in the weekend and holiday rotation as assigned

Job Type: Full-time

Pay: $17.00 - $20.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• Weekends as needed

Application Question(s):

• How do you stay up-to-date on changes to medical billing regulations and guidelines?
• Describe your experience working with electronic health records (EHR) systems.
• Have you ever encountered a situation where a claim was denied? If so, how did you handle it?
• Are you familiar with HIPAA regulations, and how do they impact your role as a medical biller?
• What is your experience with handling collections and payment plans for patients?

Experience:

• Home Health and/or Hospice Billing: 1 year (Required)

Work Location: In person

Salary : $17 - $20