What are the responsibilities and job description for the Accounts Receivable Billing Specialist position at Mays Home Health?
GENERAL SUMMARY
The Accounts Receivable Billing Specialist is a motivated individual that ensures accurate and timely posting of payments for our home health, personal services and hospice services. The Accounts Receivable Billing Specialist is responsible for making sure payments are based off our specific contracts.
Essential Duties and accountabilities
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· Ensures timely, accurate posting of commercial payments for home health/hospice & personal services · Make solid judgment and adhere to all policies ensuring the protection of confidential information related to patient demographics, medical information, diagnosis codes, PHI according to both internal and Federal HIPPA regulations and guidelines |
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· Retrieves electronic remittances (MyAbility, Via ZirMed and other electronic avenues) · Conducts research for outstanding claims (Correct insurance, PCR, Proper payment according to contract) · Initiates adjustment and write off request · Run daily, weekly, monthly reports as required · Medical Record requests · Assist with insurance verification · Assist with authorizations · Assist the Commercial and Medicare Billing Specialist · Assist with maintaingin physicians licenses · Assist with PCR · Ensures effective ccommunication and positive working relationships with personnel from all areas of the agency to maintain coordination of interrelated activites · 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, Power Point, Healthwise and email
· A keen eye for details
· Ability to work methodically and meet deadlines
· Organization and time management skills
· Ability to maintain flexibility in meeting department and individual workload demands
EDUCATION
· High School diploma or GED
EXPERIENCE
· 2 years of proven experience working in depth with Manage Care, Medicare, Medicaid and other regulatory programs
· Demonstrate knowledge of appropriate skills for communicating with all individuals through verbal and written tools
COMPETENCIES
· Build Credibility and Trust
· Collaborate with Others
· Demonstrates interpersonal understanding and utilizes effective communication skills
· Deliver Results
· Analyze Problems and make decisions
· Demonstrate Resilience
· Learn Continuously
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).
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PHYSICAL DEMANDS |
NEVER |
OCCASIONALLY |
FREQUENTLY |
CONTINUALLY |
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Sit |
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X |
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Stand |
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X |
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Walk |
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X |
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Bend/Stoop |
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X |
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Squat |
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X |
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Crawl |
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X |
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Climb |
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X |
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Reach Above Shoulder Level |
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X |
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Kneel |
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X |
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Balance |
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X |
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Lift, Carry, Push, Pull |
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Maximum 10 Lbs. |
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X |
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Maximum 20 Lbs. |
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X |
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Maximum 50 Lbs. |
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X |
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Maximum Over 50 Lbs. |
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X |
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Must Be Able To |
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See |
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X |
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Hear
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X |
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Speak
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X |
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Use One Hand |
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X |
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Use Both Hands |
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X |
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Environmental Conditions |
NEVER |
OCCASIONALLY |
FREQUENTLY |
CONTINUALLY |
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Involves Being |
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Inside |
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X |
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Outside |
X |
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Exposed to Temperatures of |
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32ûF and less |
X |
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100ûF and more |
X |
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Wet & Humid Conditions |
X |
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Noise, Vibration |
X |
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Fumes, Dust |
X |
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Hazards, Exposure |
NEVER |
OCCASIONALLY |
FREQUENTLY |
CONTINUALLY |
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Infectious Wastes |
X |
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Toxic Chemicals |
X |
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Needles/Body Fluids |
X |
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Radiation |
X |
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Chemotherapeutics |
X |
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Occasionally = 1% to 33% of the time Frequently = 34% to 66% of the time
Continually = 67% to 100% of the time