Billing Specialist - Home Health

At GrandCare Health Services , we are a leader in post-surgical rehab. We deliver expert compassionate care in the comfort of your home. GrandCare proudly services Southern California with a commitment to dignity, respect, and patient well-being. This is primarily orthopedic rehab provided in our patients’ homes, NOT your typical home health patient population.

GrandCare offers you the opportunity to join a close-knit team, focused on patient outcomes, patient satisfaction, and professional growth.

Clinicians who work with GrandCare can specialize in orthopedics, neuro, and pain to truly see their patients improve. By giving our clinicians the tools, support, and independence to do what they do best, they are able to meet their professional goals and maintain the highest levels of employee satisfaction. Please look at our Yelp reviews to see the difference we are making in communities throughout Southern California!

GrandCare Health Services is growing and looking for an experienced and compassionate Billing Specialist to join our team! As a Billing Specialist with GrandCare Health Services, you will have the opportunity to advance your career while receiving strong compensation and excellent benefits.

BENEFITS

• Competitive compensation
• Health, dental, vision, life, and disability insurance
• 401(k) plan with generous company match
• Critical illness benefit
• Paid time off
• Employee assistance program

PAY RANGE: $23.00 - $27.00/hr

JOB SUMMARY

The Billing Specialist is responsible for managing accurate, timely completion and submission of all the billing, collections, and accounts receivable functions for GrandCare Health Services.

DUTIES AND RESPSONSIBILITY

• Ensure reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Provide oversight and approval of claims audits and processing. Conducts final billing audit and issues assignments to pre-billing team when findings require further documentation.
• Ensure that billing and patient accounts record systems are maintained in accordance
  with generally accepted accounting principles and in compliance with necessary regulations.
• Maintain comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions. Represents and acts on behalf of agency in resolving conflicts with payers.
• Advise manager in matters of accepting/declining problematic payers.
• Maintain comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for appropriate agency personnel.
• Monitor aged accounts receivables and resubmit bills to overdue accounts, submits seriously overdue accounts to collection agencies for collection, and prepares bad debt reports for weekly meetings.
• Gather, collate, and report key billing information to billing team.
• Work with Executive Leadership Team in strategizing monthly, quarterly, and annual goals for optimized billing efficiency.
• Collaborate with the Executive Director in successfully reconciling the billing system reports with the general ledger.
• Reconcile Medicare quarterly reports produced by the fiscal intermediary with the billing information system and prepares the annual Medicare cost report for Executive Director review.
• Supervise the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
• Supervise and reconcile cash receipts and bank deposits according to policy.
• Establish and maintain positive working relationships with patients, family members, payers, and referral sources.
• Protect the confidentiality of patient and agency information through effective controls and direct supervision of billing operations.

JOB REQUIREMENTS

• Associate degree in accounting, Business Administration or related field, Bachelor’s degree is preferred.
• 3 years of experience in health care billing and collections management preferably in home health operations.
• Medicare experience is a plus.
• Knowledge of Waystar.
• Ability to exercise discretion and independent judgment and demonstrate good communication, negotiation, and public relations skills.
• Demonstrated capability to accurately manage detailed information.
• Able to deal tactfully with patients, family members, referral sources and payers.
• Demonstrates autonomy, assertiveness, flexibility, and cooperation in performing job responsibilities.

WHY GRANDCARE HEALTH SERVICES?

GrandCare Health Services is part of the Cornerstone Group with about 75 home health and hospice agencies throughout the country. While we are part of a large family, we operate as a local team. We understand we are nothing without great employees! It is through our team’s dedication to deliver life changing service that we become the “provider of choice” in the community that we serve. Join a culture of high performers who are on a mission to create the best in home post-acute rehab in Southern California!

What makes us unique? At GrandCare Health Services, we foster an environment where clinicians and staff members have an unprecedented level of freedom to create and implement the programs that will best serve their patients and communities. We operate with the Core Values of CAPLICO in mind:

• Celebration
• Accountability
• Passion for Learning
• Love One Another
• Intelligent Risk Taking
• Customer Second
• Ownership

We’d love to meet with you if you are passionate about giving exceptional patient care and creating the best post-surgical care in Southern California!

GrandCare Health Services is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics.