Join Our Winning Team!

We offer our At Home Care family:

• Medical, Vision, Dental and Life insurance
• Weekly Pay and Direct Deposit
• Top pay wage scale
• Paid Time off and holiday pay
• Paid Travel 
• If you’re seeking a rewarding career in health care, At Home Care is the place for you!
• SEEKING EXPERIENCED HOME CARE/HOME HEALTH CARE BILLER. PLEASE DO NOT APPLY UNLESS YOU HAVE EXPERIENCE. 

Job Purpose: The Medical Billing Supervisor performs all duties related to preparing and submitting medical insurance claims and oversees the process. This position reviews and adjusts accounts to ensure appropriate claim billing, including interacting with third parties and participants, processes, research, corrects accounts, posts payments and adjustments, and interprets Explanation of Benefits (EOB) documentation. The ideal individual will have the ability to exercise good judgment in a variety of situations, with strong written and verbal communication, leadership skills, administrative, and organizational skills, and the ability to maintain a realistic balance among multiple priorities. 

Job Description:

• Processes healthcare Medicaid medical claims through Emomed
• Oversees medical billing team and the submission of claim reports and filing procedures.
• Prepares and submits clean claims to various insurance companies by a billing clearinghouse .
• Gathers insurance billing information by reviewing patient hospital records; checking for completeness.
• Bills carrier by inputting billing information to database; initiating electronic transmissions.
• Process claims as they are paid and credit accounts accordingly.
• Resolves disputed claims by gathering, verifying, and providing additional information; following-up on claims.
• Resolves discrepancies by examining and evaluating data; selecting corrective steps.
• Adjusts patient bills by reviewing remittance advice; consulting with payer.
• Monitor payor claim acceptance and response timeliness.
• Contact payors when needed to obtain claim payment updates.
• Correct and resubmit claim denials.
• Escalate claims for potentially payor relations bulk resolution.
• Ensure proper charge capture, billing, and adjudication of claims per federal, state, and private billing guidelines.
• Prepares monthly reports of billing by summarizing billings, adjustments, and revenues received.
• Updates job knowledge by participating in educational opportunities; reading professional publications; keeping current on billing and reimbursement procedures.
• Ensures billing operations are performed in an accurate and timely manner.
• Evaluates billing processes and procedures and assists management in developing revisions.
• Monitors the revenue cycle activities and resolves any issues.
• Qualifications:

• Proof of High School Diploma or GED
• Minimum of 2 years of Healthcare medical claims processing or billing experience required (Emomed/Trizetto/Gateway EDI)
• Ability to effectively manage workload in a high-volume environment, strong attention to detail
• Working knowledge of PC applications (Microsoft Office Suite)- Strong Excel Experience is required)
• Ability to compute percentages and basic math functions
• Effective oral, written, and interpersonal communication skills