Biller

Avalon Health Care•Salt Lake City, UT

18h•Hybrid

About The Position

BRIGHTEN LIFE HOME HEALTH IS LOOKING FOR A BILLER TO JOIN OUR TEAM IN SALT LAKE CITY! Responsibilities to include processing and collecting insurance billing for both home health and hospice.

Requirements

At least 2 years billing experience
Proficient in excel
Basic understanding of computer technology including email, outlook, and teams.

Nice To Haves

Associate degree or equivalent from two year college or university; or two or more years related experience and/or training or a combination of education and experience.

Responsibilities

Request, review, and follow up with Medicaid authorization. At times may be asked to help with other payers as needed.
Ensure all rates are correct within the billing software. Entry of new Insurance rates with new contracts and changes.
Bill according to the outlined billing schedule. Prepare, review, and transmit claims using billing software through electronic and paper claim processing.
Provide claim follow up timely, contact insurance providers through phone and online review of outstanding claims. Follow processes timely to prevent and reduce outstanding claims and AR.
Research and review outstanding claims until the AR payer has been relieved. Process refunds and adjustments accordingly. All adjustments will be reviewed with the President prior to making an adjustment and approved.
Collect the payment EOB and process payment as indicated for patients dates of service. Payments which are not equal to outstanding AR will be researched and reprocessed for refunds, additional payments requests, or adjustment needs.
Have effective communication with all payers to resolve outstanding issues. Also need to work effectively with staff and office personnel to resolve issues for billing.
Data entry of ancillary charges within the billing software for month end close.
Complete monthly aging for facilities and attend aging review meetings when necessary.
Adhere to policies and procedures, including documentation and reporting responsibilities.
Adhere to code of conduct and business ethics policy.
Other duties as assigned. Attend training as assigned and requested.