What are the responsibilities and job description for the Medical Billing Specialist - Home Health position at Southwoods Health?
Medical Billing Specialist - Home Health
Southwoods Health is hiring a Medical Billing Specialist for our Home Health division. Responsible to submit claims to third-party payers, resolve edits daily within the EMR and clearinghouse and maintain correspondence regarding billing questions.
Essential Duties :
- Resolve edits daily through the EMR or Clearinghouse to produce a clean claim
- Process account checks daily in EMR
- Verify accuracy of all insurance information
- Send original claims along with any supporting documentation if necessary
- Determine need for any supporting documentation required by the insurance company / case and copy documents for inclusion with claim
- Submit secondary claims assuring that primary payment information is captured
- Understand and abide by billing compliance regulations
- Follow up with a Coding Specialist and / or Collection Specialist when necessary to correct a claim accurately
- Answer billing questions in a clear and polite manner
- Understand patient confidentiality laws and what is required to release information
- Identify billing errors, such as needed changes in procedures or policies and report to supervisor
- Forward all complex / problem questions to applicable supervisor
- Ensure all processes at responsible physician practice maintains compliance with all regulatory agencies
- Preforms Authorizations
- Perform other duties as assigned
Qualifications :
Full-time. Monday-Friday dayshift.
At Southwoods, it's not just about the treatment, but how you're treated. #SWH
www.southwoodshealth.com
