What are the responsibilities and job description for the Billing/Appeals position at PROFESSIONAL CARE HOME CARE AGENCY, INC.?
Company Description
PROFESSIONAL CARE HOME CARE AGENCY, INC. is a home care agency located in Fort Lee, New Jersey & Clifton, New Jersey. The agency is dedicated to providing care and support to clients in need of home care services. Committed to excellence, the agency focuses on delivering patient-centered services that enhance the well-being of those they serve. With a foundation in compassionate care, the organization plays a vital role in the local healthcare community.
Role Description
This is a part-time, on-site role for a Billing/Appeals Specialist. Responsibilities include submitting timely claims/billings. Monitoring payment and following up with insurance companies on unpaid bills. Document collection activity and escalate problem accounts as needed. Review and resolve claim deniels, rejections and underpayments. Prepare and submit appeal letters with supporting documentation.
Qualifications
- Experience with Billing Process with HHA Exchange.
- Proficiency in Accounting and financial documentation
- Strong Communication skills to interact effectively with clients and team members
- Attention to detail and ability to handle billing discrepancies and appeals
- Familiarity with home care services billing and appeals
- Associates or Bachelor's degree in Accounting, Finance, or a related field is preferred