Medical Biller

We are seeking a detail-oriented and experienced Billing Specialist to join our team. The ideal candidate will have a strong background in medical billing within the home healthcare industry. Having experience with the KanTime EMR system is a plus but an ideal candidate must have experience with Medical Billing through Governing agencies. This role is critical in ensuring accurate and timely billing processes, contributing to the financial health of the organization.

Key Responsibilities

Billing and Invoicing

• Prepare and submit accurate claims to Governing agencies, insurance companies, Medicare, Medicaid, and private payers using KanTime.

• Verify and review documentation and coding for completeness and accuracy before submission.

• Ensure all billing is compliant with payer requirements and regulatory standards.

• Manage electronic and paper claim submissions as required.

• Monitor billing cycles and schedules to meet deadlines.

Accounts Receivable Management

• Monitor and follow up on outstanding accounts receivable balances.

• Resolve billing discrepancies and denials by communicating with insurance companies and payers.

• Implement strategies to reduce accounts receivable days and improve cash flow.

• Maintain detailed records of communication and actions taken on delinquent accounts.

Payment Posting

• Accurately post payments, adjustments, and write-offs into the KanTime system.

• Reconcile daily deposits and ensure proper allocation of funds.

• Prepare bank deposits and manage electronic payment processing.

Compliance and Documentation

• Maintain up-to-date knowledge of billing regulations, coding standards, and compliance requirements specific to home health care.

• Ensure all billing activities adhere to state and federal laws, including HIPAA and other regulatory guidelines.

• Keep accurate and organized records for audits and compliance reviews.

Reporting and Analysis

• Generate billing and accounts receivable reports to track performance metrics.

• Analyze data to identify trends, issues, or areas for improvement.

• Provide insights and recommendations to management based on findings.

Collaboration

• Work closely with care coordinators, field staff, and administrative teams to obtain necessary documentation and information for billing.

• Communicate effectively with other departments to resolve billing issues and enhance processes.

• Assist in training staff on billing procedures and the use of KanTime related to billing functions.

Process Improvement

• Identify opportunities to streamline billing processes and enhance efficiency.

• Participate in the development and implementation of new billing policies and procedures.

• Stay informed about industry best practices and technological advancements in billing.

Qualifications:

Education

• Bachelor’s degree in Accounting, Finance, Healthcare Administration, or related field required.

Experience

• Minimum of 2 years of medical billing experience in the home health care industry.

• Familiarity with the KanTime EMR system.

• Mandatory experience with Medicare, Medicaid, private insurance and governing agency billing processes.

• Knowledge of medical billing codes, terminology, and regulations specific to home health care.

Skills and Abilities

• Technical Proficiency:

• Proficient in using EMR systems, specifically KanTime.

• Strong understanding of billing software, online billing portals and electronic claim submission.

• Attention to Detail:

• Exceptional accuracy in data entry and financial calculations.

• Organizational Skills:

• Ability to manage multiple tasks and meet tight deadlines.

• Communication Skills:

• Effective verbal and written communication abilities.

• Strong interpersonal skills for interacting with team members and external parties.

• Problem-Solving:

• Analytical skills to identify and resolve billing issues.

• Confidentiality:

• Ability to handle sensitive information with discretion.

Attributes

• Integrity:

• Commitment to ethical practices and compliance with regulations.

• Team Player:

• Collaborative attitude and willingness to assist colleagues.

• Adaptability:

• Ability to work in a fast-paced environment and adapt to changes.

• Self-Motivation:

• Proactive approach to tasks and continuous improvement.

Core Competencies

• Compliance Awareness

• Understands and adheres to all regulatory requirements and company policies related to billing and patient confidentiality.

• Technological Proficiency

• Comfortable using technology to enhance efficiency and accuracy in billing processes.

• Attention to Detail

• Maintains high levels of accuracy in all billing activities to ensure correct reimbursement and compliance.

• Communication and Collaboration

• Effectively communicates with internal and external stakeholders to resolve issues and improve processes.

Physical Requirements

• Ability to sit for extended periods while working on a computer.

• Adequate vision and hearing to perform duties effectively.

• Occasionally lift and carry up to 20 pounds.

Working Conditions

• Office environment with standard working hours, Monday through Friday on-site.

• May require occasional overtime to meet deadlines.

• Minimal travel may be required for training or meetings.