Billing Specialist - Home Health & Hospice

Transition Home Healthcare • Houston, TX

2d

About The Position

At Transition Home Healthcare and Pathways Hospice, our associates are our most valuable asset. Each associate provides a service that directly or indirectly affects patients, families, other team members, and the public. We strive to excel in providing the highest quality healthcare and customer service possible, which is incumbent upon the excellence and commitment of our leaders and caregivers. We are looking for a self-driven, organized individual who understands that in order to provide outstanding customer service to our patients, we must ensure that they have a great experience from the start! Billing Specialist Responsibilities: Ensure reimbursement through efficient billing and collections operations and effective accounts receivable management. Ensure billing and patient account records are updated in multiple EMR systems timely and accurately. Document all follow-up and necessary information in reference to the patient account. Work aged accounts receivables, resubmit bills on overdue accounts, and submit significantly delinquent accounts to supervisor for further collection. Gather, collate, and report key billing information to the Director of Revenue Cycle Management. Understand the billing information system and maintain comprehensive working knowledge including upgrades and enhancements. Establish and maintain positive working relationships with patients, family members, payors, and referral sources. Maintain comprehensive working knowledge of insurance company and authorization requirements. Has knowledge of payor contracts and ensures payors are billed according to contract provisions. Protect the confidentiality of patient and organization information through effective controls and direct supervision of billing operations. Complete other tasks as required and designated by supervisor and/or administrator.

Requirements

• Minimum one (1) year of experience with billing processes, prior authorizations, and billing systems in home health/hospice.
• Knowledge of different insurance and HMO plans and ability to research complex issues.
• Working knowledge of insurance(s) for home health, authorization, and appeals requirements.
• Proficient level experience in Microsoft Office (Word, Excel, PowerPoint, Outlook).
• Strong communication and interpersonal skills.

Nice To Haves

• Experience with HCHB EMR (preferred but not required).

Responsibilities

• Ensure reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Ensure billing and patient account records are updated in multiple EMR systems timely and accurately.
• Document all follow-up and necessary information in reference to the patient account.
• Work aged accounts receivables, resubmit bills on overdue accounts, and submit significantly delinquent accounts to supervisor for further collection.
• Gather, collate, and report key billing information to the Director of Revenue Cycle Management.
• Understand the billing information system and maintain comprehensive working knowledge including upgrades and enhancements.
• Establish and maintain positive working relationships with patients, family members, payors, and referral sources.
• Maintain comprehensive working knowledge of insurance company and authorization requirements.
• Has knowledge of payor contracts and ensures payors are billed according to contract provisions.
• Protect the confidentiality of patient and organization information through effective controls and direct supervision of billing operations.
• Complete other tasks as required and designated by supervisor and/or administrator.

Benefits

• Competitive Pay
• Generous Paid Time Off (PTO) and Holidays
• Medical
• Dental
• Vision
• Company-paid life insurance & LTD/AD&D insurance
• Short-Term Disability
• Supplemental Insurances (Hospital Indemnity, Cancer Policies, Legal Plans, & More!)
• 401(k) company match

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed