Medical Billing Specialist

Hospice Medicaid Billing Specialist

Job description

The Billing Specialist is responsible for the coordination of the Company’s billing functions in accordance with state, federal, and local regulations.

Qualifications

• High school diploma or equivalent

• Experience in a medical-related field (preferably Home Health/Hospice)

• EMR/Software: HomeCare Home Base, Availity, Waystar/medical claims clearinghouse

• Excellent attention to detail and accuracy in data entry

• Strong organizational and time management skills

• Effective communication skills, both written and verbal

• Ability to work independently and as part of a team

• Self-starter and highly resourceful

• Knowledge of office machines, excellent computer skills, proficient in Microsoft Office Software, excellent interpersonal and organizational skills

• Knowledge of billing and CMS regulations

• Experience in making outbound calls to payors for payment resolution or collections purposes

• Problem-solving and critical thinking skills to identify and correct claim issues

• EMR experience: HCHB or other electronic medical record experience

• Math: Strong mathematical skills for calculating remittances, payments, and reconciling accounts

• Foundational knowledge of Home Health/Hospice Medical Billing

• Medical billing: Familiarity with medical billing processes, claims submission, and claim denials

• Transportation: Reliable transportation

• Valid and current auto insurance

• Must be able to work under stressful conditions and time constraints of the agency or projects

• Work requires sitting for long periods of time, bending, and stretching for files and office supplies

• May occasionally require lifting files or paper weighing up to 30 pounds

Responsibilities

• The Billing Specialist is responsible for the coordination of the Company’s billing functions in accordance with state, federal, and local regulations

• Works in a variety of settings and office environments, promoting functioning and coordination with all company activities to insure the highest level of professional care

• Ensure all documents are present within electronic medical record and submitted timely and accurately according to Medicare standards

• Collaboration with service location contacts, third party institutions and other team members to resolve billing inconsistencies and errors

• Ensuring accurate and timely submission of claims, understanding, and interpreting guidelines of various insurances and payors

• Staying up to date with insurance/payors regulations to maintain compliance and prevent potential issues

• Accurate and comprehensive documentation of billing activities in EMR, ensuring transparency and accountability

• Efficiently managing accounts receivable, pursuing unpaid balances

• Resolving billing and collection issues and discrepancies swiftly and effectively

• Continuously monitor billing and collection activities, identifying potential issues, discrepancies, and trends

• Ensure that any billing discrepancies, collection concerns, or potential issues are promptly communicated to the Billing Manager, allowing for proactive resolution

• Other tasks as assigned by management

• Ensure compliance with local, state and federal regulations and the agency’s policies and procedures

Subject to employee eligibility, some benefits, tools, and resources include:

• Generous time off with pay for full-time employees

• 401(k) plan for eligible employees

• Insurance plans for medical, dental, and vision coverage for full-time employees

Equal Opportunity Employer

Job Type: Full-time Schedule: • Bonus pay

Work Location: North Metro Atlanta