What are the responsibilities and job description for the Medical Biller position at Home Health Agency?
Job Overview:
Seeking a detail-oriented and experienced Medicare Medical Biller to join our dynamic team. This role is essential in ensuring accurate and timely billing, reducing denials, and maximizing reimbursements. The ideal candidate will have a strong background in medical billing for home health services, with specific expertise in Medicare claims submission, follow-up, and reimbursement processes.
Key Responsibilities:
- Prepare and submit accurate and timely Medicare claims.
- Monitor and follow up on unpaid claims, denials, and appeals to ensure proper reimbursement.
- Verify patient insurance coverage and benefits.
- Review patient records for completeness and accuracy, ensuring necessary documentation is included.
- Reconcile billing discrepancies and manage accounts receivable.
- Utilize knowledge of ICD-10 coding systems to assign appropriate codes for diagnoses and procedures.
- Ensure compliance with Medicare billing guidelines, HIPAA regulations, and payer requirements.
- Collaborate with clinical and administrative staff to ensure proper documentation for billing purposes.
- Generate and review reports to track billing performance and outstanding accounts.
- Stay updated on changes in Medicare policies, billing regulations, and coding practices.
- Assist in developing billing policies and procedures to enhance efficiency.
Qualifications:
- Minimum 1 year of experience in Medicare medical billing.
- Strong knowledge of Medicare billing guidelines, regulations, and reimbursement processes.
- Proficiency in medical billing software and electronic claims submission.
- Ability to analyze Explanation of Benefits (EOBs) and resolve billing issues.
- Familiarity with medical terminology and medical coding.
- Detail-oriented with excellent organizational and problem-solving skills.
- Strong communication skills to effectively interact with insurance providers, healthcare providers, and team members.
- Ability to work independently, meet deadlines, and maintain confidentiality.
Join our team as a Medicare Medical Biller, where your expertise will contribute to the efficient operation of our healthcare services, ensuring accurate billing practices and optimal patient care.
Job Type: Full-time
Expected hours: 40 per week
Schedule:
- 8 hour shift
- Monday to Friday
Work Location: In person