Billing Staff

Connected Home Health & Hospice•Washington, DC

About The Position

Connected Home Health is seeking a passionate individual to join our billing staff team. We are a Medicare-certified agency dedicated to providing quality patient services.

Requirements

Experience in health care billing and collections preferably in home health and/or hospice operations, preferred.
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 work tactfully and collaboratively with colleagues, peers, referral sources and payers.
Demonstrates ingenuity, autonomy, assertiveness, flexibility and cooperation in performing job responsibilities.

Responsibilities

Post all personal, insurance and liability payments from Remittance and EOBs to appropriate accounts with minimum errors.
Apply manual payments and auto payments to accounts for payor types of Medicare, Medicaid and Commercial Insurances.
Analyze EOB information, including co-pays, deductible, co-insurance, contractual adjustments, denials and more to verify accuracy of patient balances.
Read and interpret remittance advice.
Investigate the source of unidentified payments to ensure they are applied to appropriate accounts. If necessary, will contact the sender to clarify where the payment should be posted.
Assist in performing comparison of downloaded files to the Direct Deposit and correct any discrepancies.
Assist in setting up Electronic Remittance Advices (ERA) for Commercial and Medicare payors.
Maintain accurate records of billing activities and update patient accounts as needed.
Contact patients, insurance or third-party administrators when clarification of information is needed to successfully post payment.
Research inquiries in a professional and courteous manner and work with Accounts Receivable team members, to identify and resolve escalated customer concerns in a timely manner.
Reconcile cash log daily and resolve variances.
Collaborate with the billing team to improve billing processes and efficiency.
Engage in team-oriented tasks that include assisting co-workers when needed, reaching team goals, meeting deadlines, and being an overall team player.
Maintain confidentiality of and compliance with all company and patient information in accordance with federal, state, and local regulations, HIPPA regulations and Company policies.
Collaborate with healthcare providers to obtain missing or additional documentation.
Maintain comprehensive working knowledge of payor contracts and ensures that payors are billed according to contract provisions. Represents and acts on behalf of agency in resolving conflicts with payers.
Maintain comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for agency personnel.
Assist in training a new hire in Authorization and filling in with Authorization when necessary.