What are the responsibilities and job description for the Billing Analyst/RCS Coordinator position at Capital Health Care Network?
We offer a comprehensive Benefit package to Full Time Employees:
- PTO
- 401-k with Company match
- Health Insurances
- Company Paid Life Insurance
- Tuition Reimbursement
- Employee Assistant Program
Objective
The Billing Analyst/RCS Coordinator is a highly organized and experienced individual in Home Health billing and collections. This individual will handle the billing and revenue cycle management for our home health & hospice agencies. This position will report to the VP of Clinical Operations with support from the A/R Director. The ideal candidate will have a strong background in healthcare billing and be capable of managing and ensuring accurate and timely billing processes and revenue cycle management.
Essential Job Functions/Responsibilities
- Accurately process and bills Medicare, Medicaid, Private Insurance payors and all patient claims in accordance with payor requirements and organization policy.
- Maintains complete and accurate billing and accounts receivable records.
- Prepares Medicare, Medicaid, Private Insurance and patient remittances for data entry.
- Handles the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and following up on denied claims.
- Sets up new payors in billing system and maintains billing database.
- Reviews and handles daily deposit information and posting of payments.
- Reconciles cash postings to bank statements.
- Runs end of month reports as needed.
- Processes credit card transactions as needed.
- Manages private pay billing by sending statements and posting payments.
- Leads monthly A/R review meetings.
- Sends weekly reports to agencies.
- Communicates with agency personnel to facilitate timely billing and accounts receivable processing.
- Initiates patient refund requests and submits requests for write-offs.
- Stays up to date with healthcare billing regulations, such as Medicare, Medicaid, Managed Care and third-party payors.
- Establishes and maintains positive working relationships with patients, payors, and other customers
- Maintains the confidentiality of patient and organization information at all times.
- Performs other specific projects relating to billing, data entry, and computer operations as required.
Position Qualifications
- One to five years of previous health care related billing experience, preferably in home health care billing.
- Current knowledge of PDGM and NOA billing requirements for Medicare is a plus.
- High school graduate or equivalent, two (2) years college preferred.
- Microsoft Excel
- Knowledge of payor portals for billing and follow-up (Waystar-Zirmed, Availity, DDE, eServices)
- Knowledge of Homecare Homebase EMR is preferred.
- Excellent organizational skill
- The ability to pay attention to details.
- Communication Skills
- Problem Solving
