Billing Specialist

Position:                          Billing Specialist

Employment Status:  Full-time

FLSA Status:                  Non-exempt

Summary:  Under the supervision of the Billing & Payroll Manager, this position will be primarily responsible for the auditing and processing of all Home Health patient billing, follow up and eligibility checks.

 Qualifications/Requirements: 

  • High School Diploma or equivalent.
  • Equivalent combination of experience, education, and training that would provide the required knowledge and abilities.
  • Previous billing and collections experience preferred
  • Ability to research and analyze data, draws conclusions, and resolves issues; read, interpret, and apply policies, procedures, laws, and regulations.
  • Must be detail orientated and possess excellent organizational skills.
  • Must have excellent interpersonal skills, the ability to multi-task and work independently as well as with a team.
  • Excellent communication, organization and intermediate computer skills a must.

 Essential Functions: 

  • Post all payments from Medicare and other sources
  • Review account receivables and take actions to expedite collections
  • Evaluates medical record documentation and compliance with auditing standards to optimize reimbursement by ensuring that documentation accurately reflects and supports the certification period.
  • Evaluates records and prepares reports on such topics as number of denied claims or documentation or coding issues for review by management and/or professional evaluation committees.
  • Frequently communicates with field staff, Case Managers, office personnel and others throughout the organization and community.
  • Conducts eligibility checks for all new referrals and once a month for all existing Home Health patients.
  • Assist with general administration duties as needed by the department.
  • Frequently communicates with field staff, Case Managers, office personnel and others throughout the organization and community.
  • Acts as a liaison between the Home Health and Fiscal departments by attending the Home Health meetings.
  • Assist with general administration duties as needed by the department.
  • Other duties as assigned by the supervisor.

Working Conditions/Physical Requirements: 

  • Business hours are Monday through Friday, 8:30 a.m.-5:00 p.m. Due to circumstances that may arise, overtime maybe required at times. In all cases, overtime must be pre-approved by your supervisor.
  • Computer terminal and printer, electric typewriter, photocopy machine, calculator, and fax machine.
  • Sufficient manual dexterity and visual acuity to operate standard office equipment.
  • Must be able to sit for long periods. Standing desks can be provided, if needed.
  • Must have verbal communication skills and hearing ability to discuss billing with medical staff, patients, and Medicare personnel.

 Measureable Evaluations:

  • Prepares daily Check History report of Medicare billing for CFO’s office.
  • Monitor and correct system errors as they relate to billing deadlines.
  • Conduct chart audits and claims corrections and follow up.
  • Achieve tardiness and attendance standards established by the organization.

Training: 

Will receive pre-service training and orientation on operations of Aging True.

Will receive in-service training on pertinent topics as schedule permits.

Anyone with these skills who is interested in a challenging and highly rewarding work experience where every day provides an opportunity for growth, is encouraged to submit their resume to jobs@agingtrue.org with the subject line of “Billing Specialist December 2019”.

 

AGING TRUE IS AN AFFIRMATIVE ACTION EMPLOYER

AGING TRUE IS AN EQUAL OPPORTUNITY EMPLOYER

AGING TRUE IS A DRUG FREE WORKPLACE