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2 Reimbursement Analyst - Home Health Jobs in Oldsmar, FL

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Pinnacle Home Care
Oldsmar, FL | Full Time
$54k-67k (estimate)
1 Month Ago
Pinnacle Home Care
Oldsmar, FL | Full Time
$44k-57k (estimate)
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Reimbursement Analyst - Home Health
$54k-67k (estimate)
Full Time | Skilled Nursing Services & Residential Care 1 Month Ago
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Pinnacle Home Care is Hiring a Reimbursement Analyst - Home Health Near Oldsmar, FL

Our Mission at Pinnacle Home Care is "Changing lives through the art of the experience"!! Pinnacle Home Care is a full-service Medicare Certified and Florida Licensed Home Health Company locally owned and operated by home health professionals who are passionate about delivering exceptional, quality care to the communities that we serve. We take pride in our home health care professionals who are devoted to fulfilling the levels of service that we uphold. Human service can never be successful without dedication, just as dedication cannot be realized without passion.
  • Award-winning – “Top places to work 2020, 2021 & 2022” “Healthcare workplace Innovator” “Top 100 Agency Home Care Elite”
  • Leading provider of home care services recognized for Creating Raving Fans and delivering Exceptional Outcomes.
  • Competitive pay, benefits, 6 paid holidays, matching 401K, and great coffee.
  • Comprehensive and ongoing training plus growth opportunities.
As our Reimbursement Analyst, you will take responsibility for obtaining and managing, accurate, timely completion and submission of all the authorization requests. You will also focus on billing, collections, and accounts receivable functions for Pinnacle Homecare and our assigned payor sources.
As part of our Dynamic Central Operations Team, you will:
  • Bill payers in a timely and accurate manner.
  • Daily collection activities for designated accounts, leading to the timely reimbursement of receivables using available resources including external/internal databases, payer portals/websites, and telephone
  • Take appropriate action to resolve denied/rejected invoices and preparation of payer corrections and/or appeals in accordance with payer plan requirements using electronic and paper processes
  • Calculate expected reimbursement percentages based on contracted rates and properly notate accounts.
  • Daily Review of EOPs/EOB/Ras/EOMBs for accuracy and patient responsibility.
  • Reconciles and collects on assigned accounts.
  • Identify trends, and opportunities, and report data to your direct supervisor the same day.
  • Meet productivity goals as assigned by the Billing/Reimbursement Manager.
  • Utilize appropriate systems to actively contact Payers/Patients for account transactions.
  • Ensures that all reconciled items and past due balances are resolved to completion through contact and follow-up with Payers/Patients.
  • Communicates professionally with inter-company departments on a resolution of potential disputed items.
  • Responds to all inquiries with a resolution to concerns and or discrepancies.
  • Participates in payer webinars and conference calls covering a wide range of topics that enables the Billing Team to effectively bill and collect accounts receivable.
  • Assists in the training of all new A/R personnel when needed.
  • Complies with HIPAA regulations on all accounts
  • Protects the confidentiality of patient and organization information through effective controls and direct supervision of operations.
  • Additional Duties/Tasks may apply as the business needs of the company evolve.
The Talent Acquisition person who is responsible for this role enjoys sharing their enthusiasm for being part of an amazing organization, that works together for successful patient outcomes and has a passion for service to others. It will be well worth your time to have the conversation and expand your network. Apply today!

Job Summary

JOB TYPE

Full Time

INDUSTRY

Skilled Nursing Services & Residential Care

SALARY

$54k-67k (estimate)

POST DATE

04/07/2023

EXPIRATION DATE

06/21/2024

WEBSITE

pinnaclehomecare.net

HEADQUARTERS

KIRKLAND, WA

SIZE

50 - 100

FOUNDED

2003

CEO

HERY SADELY

REVENUE

$5M - $10M

INDUSTRY

Skilled Nursing Services & Residential Care

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About Pinnacle Home Care

Pinnacle Home Care is a Medicare Certified and Florida Licensed full-service clinically owned and operated health care company, led by professionals who are passionate about delivering Exceptional Outcomes and quality care Beyond Expectation to patients, referral partners, staff and the communities that we serve. At Pinnacle Home Care we believe in Exceptional Outcomes which is why our patients receive exceptional customized home care services in the comfort of their home.

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