Medicare / Medicaid Billing Specialist

Seeking a skilled individual to oversee all aspects of patient billing and collections in our Home Health and Hospice departments.

Responsibilities include performing billing functions, ensuring timely authorizations / re-authorizations, processing payments, managing collections, and conducting follow-ups.

Additionally, coordinating care with QA, coding, insurance companies, and external billing entities to ensure proper claims processing.

Primary focus on Medicare and Medicaid claims . Join our team and make a difference in patient care today!

Our Medicare / Medicaid Billing Specialist enjoys some excellent benefits :

• $24.00-$27.00 an hr. DOE
• Weekly Pay
• PTO, Medical, Dental, Vison, 401k
• Insperity Perks : Earned Wage Access, Banking and Card Member Discounts, Cashback, and More
• Career growth opportunities and an excellent culture with supportive leadership.

As The Medicare / Medicaid Billing Specialist, here’s a big picture view of what you’ll do :

• Performs billing functions (including but not limited to pre-bill, denials, collections / aging, and accounts receivable)
• Ensures proper processes are adhered to for accuracy and timeliness of billing.
• Reviews unbilled accounts report, re-bills on hold and cash application weekly and performs follow-up to meet the company standards, coordinating with external billing, as applicable.
• Interacts with centralized cash application department to ensure accuracy in applied cash.
• Provides input on process improvements
• Meets weekly with managers to provide detailed status report on progress of authorizations, billing and collections / unbilled report and overdue balances and discusses plans of action
• Develops, implements, and processes resources in collaboration with managers where applicable, to improve or maintain billing and collection in adherence with company standard levels.
• Performs authorization / re-authorizations, as needed.
• Maintains payor contracts and portals.
• Maintains credentialing, recredentialing, and certifications.
• Assists in evaluation of reports, decisions, and results of department in relation to established goals. Recommends new approaches, policies, and procedures to effect continual in efficiency of department and services performed.
• Posting payments / payment reconciliation, as needed
• Interacts with a variety of personnel in the branch and services centers to achieve outcomes.
• Completes other assignments as requested and assigned.
• May have access to personal health information ("PHI") necessary to fulfill the above duties and responsibilities. Access to use and ability to disclose PHI is further defined by each organization / department.

A few must haves for our Medicare / Medicaid Billing Specialist :

• Associates degree in related field or equivalent work experience.
• Prefer remote in SC.
• Minimum three (3) years Home Health and Hospice billing experience.
• In-depth knowledge of home health and hospice industry billing.
• Detail oriented with strong organization, analytical and problem-solving skills.
• Proficient with software and systems; MatrixCare and Waystar experience is a plus.
• Excellent communication and interpersonal skills
• Strong experience in handling Medicare and Medicaid claims.

Why Work for Interim HealthCare?

Operating through 300 offices, our commitment to you is expressed through a family-oriented culture that values and appreciates medical professionals, and a passion to put patients first.

Join a nationwide network of medical professionals who are making a significant difference in the lives of others through the personalized, home-based care they provide.

Pando

PandoLogic. Category : Finance, Keywords : Collection Specialist, Location : North Charleston, SC-29405

Last updated : 2024-05-22