What are the responsibilities and job description for the Home Care Billing Specialist position at Home Care Powered by AUAF?
About Us
At Home Care Powered by AUAF, we are dedicated to providing quality, in-home services for seniors. Our mission is to enable them to live comfortably and independently in the familiarity of their own home.
The Medical Claims Manager plays a vital role in our organization, ensuring that billing and claims are accurate, timely, and meet the requirements of Managed Care Organizations (MCOs) and the Illinois Department on Aging (IDoA). This position requires expertise in all areas of billing, from client referrals and intake to resolving rejected claims.
- 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.
This position also involves:
- Processing monthly billing for IDoA through eCCPIS web portal.
- Processing monthly billing for managed care organizations through insurance company or other billing web portals.
- Serving as liaison between IDoA, insurance companies, and AUAF regarding any billing issues.
- Delegating responsibilities to employees while enforcing all policies, procedures, standards, specifications, guidelines, training programs, and cultural values.
- Resolving internal staff conflicts efficiently and to the mutual benefit of those involved.
To succeed in this role, you will need:
- A 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.
