What are the responsibilities and job description for the Non-Medical Homecare Billing Professional position at Home Care Powered by AUAF?
**Our Mission:**
At Home Care Powered by AUAF, we strive to provide quality, in-home service that allows seniors to live comfortably and independently in the familiarity of their own home. Our Medical Billing Manager plays a critical role in achieving this mission by ensuring accurate, timely, and compliant billing and claims processing.
Main 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)
- Process 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
