What are the responsibilities and job description for the Home Care Billing Manager position at Home Care Powered by AUAF?
About Our Company
Home Care Powered by AUAF is a fast-growing, non-profit organization providing non-medical, in-home services for over 30 years.
Our mission is to provide quality, in-home service that will allow seniors to live comfortably and independently in the familiarity of their own home.
The Medical Billing Manager Role
This position works in a fast-paced environment, ensuring billing and claims are accurate, timely, and meet the requirements of MCOs and the IDoA.
The Billing Manager needs to be an expert on all areas of Billing from client referrals and intake to resolving rejected claims.
Key Responsibilities:
- Develop, maintain and monitor all billing procedures
- Reconcile claims/accounts to complete resolution
- Prepare monthly billing reports for Director/Accountant
- Coordinate with Accounting on accounts receivable
- Monitor assigned accounts to ensure maximization of collection dollars
- Ensure client information is correct for insurance networks
- Supervise all billing staff to ensure accuracy, efficiency, and timeliness of claims
- Process monthly billing for IDoA through IDoA web portal (eCCPIS)
- Processes monthly billing for managed care organizations through insurance company or other billing web portals
- Serve as liaison between IDoA, insurance companies and AUAF regarding any billing issues
- Delegate responsibilities to employees while enforcing all policies, procedures, standards, specifications, guidelines, training programs, and cultural values
- Use and train employees to use IDoA and MCO web portals (PSS, TTP, and MCO specific sites)
- Resolve internal staff conflicts efficiently and to the mutual benefit of those involved
- Follow all IDoA and AUAF policies and procedures
Requirements:
- Bachelor's degree and a minimum of 3 years of healthcare-related experience in billing and collections
- Certified Coding Specialist (CCS) from accredited program recommended
- Knowledge with CMS 1500 Billing Forms, electronic billing, EOBs, claims
- Experience working with all types of insurance- Commercial, Medicare, Medicaid, etc.
- Knowledge of ICD-10 billing
- Ability to work in a group and independently with little supervision
- Strong knowledge of Microsoft Office: Excel, Word, Outlook
- Demonstrated understanding of the medical billing industry
- Speaks a second language
Training and Professional Development:
- Complete IDoA required Homecare Supervisor Training (HOST) within 90 days of employment
- Complete 24 hours of in-service training on aging related subjects within each calendar year
- Complete additional training as assigned by AUAF management
We are committed to providing access, equal opportunity, and reasonable accommodations for people with disabilities. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by applicable law.
