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:
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:
- Training or courses in business office activities, computer skills, and medical terminology
- Effective communication skills, ability to problem solve
- Maintain professional demeanor at all times, strong ethical and moral principles
- Preferred two or more years Collection/Billing experience
- Home Health Coding experience preferred, but not required.
Full-time. Monday-Friday dayshift.
At Southwoods, it's not just about the treatment, but how you're treated. #SWH
www.southwoodshealth.com
