Commercial Insurance Billing Specialist

VNA of Florida•Stuart, FL

2d•Onsite

About The Position

The Commercial Insurance Billing Specialist at The Visiting Nurse Association of Florida is responsible for managing all aspects of the Commercial Insurance billing process. This includes claims submission, reimbursement tracking, reviewing authorizations for accuracy, and reviewing payer verifications. This position ensures compliance with all Medicare guidelines.

Requirements

Good communication and customer service skills
Proficient Time Management and attention to detail

Nice To Haves

Strong understanding of commercial insurance billing procedures
Strong understanding of PDGM billing procedures
Home Health Experience

Responsibilities

Ensure timely submission of claims through the appropriate clearinghouse.
Review required authorizations and/or documentation required for reimbursement.
Reviews, processes, submits clean and accurate insurance claims in a timely manner.
Maintain detailed records and documentation related to commercial billing activities.
Process denial and reconsiderations letters as needed.
Identify and resolve discrepancies in payments and accounts by working the aging report weekly.
Collaborate with internal teams to resolve any billing issues or discrepancies.
Monitor and track commercial insurance reimbursements to ensure timely payments.
Review and correct claim errors and rejections.
Post payments received from all commercial insurance payers to patient accounts.
Reconcile payments with billing records to ensure accuracy.
Stay updated on our contractual agreements with each commercial payer to ensure compliance.
other duties as assigned.