What are the responsibilities and job description for the Billing Specialist position at Central Pyramid?
GENERAL SUMMARY
The Billing Specialist processes charges for services using a computerized billing system. The Billing Specialist is responsible for the timely, complete, and accurate submission of billing and invoicing.
Essential Duties and accountabilities
- Ensures timely, accurate posting of Medicare and commercial insurance claims for home health/hospice and personal services
- Makes solid judgement and adhere to all policies ensuring the protection of confidential information related to patient demographics, medical information, PHI according to both internal and Federal HIPPA regulations and guidelines
Research for outstanding claims in the Medicare system
- Initiate adjustment and write off request
- Run daily, weekly, monthly reports as required
- Assist with insurance verifications
- Assist the Commercial Billing Specialist
- Ensures effective communication and positive working relationships with personnel from all areas of the agency to maintain coordinatin of interrelated activities
- Communicates necessary information to supervisor and management team to ensure coordination of financial operations
- Performs job in compliance with agency policies and procedures and according to accepted standards of practice
- All other duties as assigned
SPECIAL SKILLS AND ABILITIES REQUIRED
- Knowledgeable user of computer systems and application to include Microsoft Word & Excel
- A keen eye for details
- Ability to work methodically and meet deadlines while maintaining flexibility in meeting department and individual workload demands
- Insurance knowledge
- Excellent interpersonal communication skills
- Organization and time management skills
EDUCATION
- High School diploma or GED
EXPERIENCE
- 2 years of billing experience.
- Experience billing Home health and Hospice claims is preferred.
COMPETENCIES
- Collaborate with Others
- Demonstrates interpersonal understanding and utilizes effective communication skills
- Deliver Results
- Analyze Problems and make decisions
Degree of Travel
- Occasional
Safety Hazards in Job
- Limited – eye strain and repetitive motion strain from computer use
WORKING CONDITIONS: (Includes information essential for successful job performance).
PHYSICAL DEMANDS
NEVER
OCCASIONALLY
FREQUENTLY
CONTINUALLY
Sit
X
Stand
X
Walk
X
Bend/Stoop
X
Squat
X
Crawl
X
Climb
X
Reach Above Shoulder Level
X
Kneel
X
Balance
X
Lift, Carry, Push, Pull
Maximum 10 Lbs.
X
Maximum 20 Lbs.
X
Maximum 50 Lbs.
X
Maximum Over 50 Lbs.
X
Must Be Able To
See
X
Hear
X
Speak
X
Use One Hand
X
Use Both Hands
X
Environmental Conditions
NEVER
OCCASIONALLY
FREQUENTLY
CONTINUALLY
Involves Being
Inside
X
Outside
X
Exposed to Temperatures of
32ûF and less
X
100ûF and more
X
Wet & Humid Conditions
X
Noise, Vibration
X
Fumes, Dust
X
Hazards, Exposure
NEVER
OCCASIONALLY
FREQUENTLY
CONTINUALLY
Infectious Wastes
X
Toxic Chemicals
X
Needles/Body Fluids
X
Radiation
X
Chemotherapeutics
X
Occasionally = 1% to 33% of the time Frequently = 34% to 66% of the time
Continually = 67% to 100% of the time
ADDITIONAL INFORMATION: (Include any business unit-driven variances regarding job duties and responsibilities; special skills and abilities; education and experience; and working conditions. List by business unit).
DISCLAIMER
The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job.
About Us
Why work for Central Pyramid and Affiliates?
We provide our employees with an atmosphere that will encourage them to develop their talents to their highest potential. We provide support to our employees nationwide who provide care to those in need of home health, hospice, or personal services. Join our Team to provide inspired support for our staff. We offer a welcoming professional team approach to support our field and to allow our clinicians to care for patients.
Wondering what amazing benefits we can offer you?
Full-Time Benefits
- Medical - We offer three options including PHCS PPO Plan, PHCS HSA Plan, or Preventive Plus.
- Dental and Vision - Take advantage of our Delta Dental and VSP plans!
- 401k Match - We offer a very generous 401k match!
- Paid Time Off - You will begin earning paid time off from day one! The annual average for paid time off accrual is 18 days per year to start.
- AFLAC - You can access short term disability, accident, and cancer policies through AFLAC.
Part-Time & PRN Benefits
- Medical - Part-time and prn staff are offered Preventive Plus Plan coverage.
- 401k Match - If you average over 1000 hours per year, we offer a very generous 401k match!
- AFLAC -You can access short term disability, accident, cancer policies through AFLAC.