Home Health Billing Specialist

Eden Health

13d•Onsite

About The Position

The Billing Specialist supports our home office in Vancouver, WA. The Billing Specialist is proficient in billing for Medicare, Medicaid, VA, Commercial Insurance, Private Pay, and/or other payer sources as assigned. This position is responsible for claim audits, insurance verification/follow up, posting charges, adjustments and payments, collections, excellent customer service, the management of outstanding receivables and resolving denials efficiently.

Requirements

Minimum High School Diploma
EHR experience
Ability to function under minimal supervision in a fast paced, dynamic environment
Strong written and verbal communication skills
Project professional image
Excellent telephone skills
Ability to develop and maintain business relationships
Demonstrated ability to work collaboratively across an organization
Excellent interpersonal and customer service skills, including staying professional in difficult situations
Proficient in MS Outlook, Excel and Word
Ability to take direction, yet work independently and display initiative and motivation
Able to communicate effectively in English verbally and in writing
Valid driver’s license and reliable transportation
Able to pass criminal background check and national sex offender clearance

Nice To Haves

Home Health, Hospice, Palliative and/or Private Pay billing experience preferred
Knowledge of CPT/HCHPCS codes, Home Health/Hospice terminology and claims processing preferred

Responsibilities

Prepares and submits clean claims to various insurance companies for assigned locations/payers.
Answers questions from patients, staff and insurance companies. Identifies and resolves billing complaints/issues.
Reviews outstanding A/R balances for prompt payment from payment sources.
Input and manage collection notes as appropriate in the Electronic Health Record (EHR).
Analyzes remittance advice to ensure accurate posting of rejections, payments, and contractual adjustments timely.
Send client statements and answer questions related to client statements including complaint resolution, as necessary.
Communicates policies, procedures, errors, and issues with appropriate team members and departments.
Available for on-call and extended hours as assigned.
Demonstrates ability to communicate effectively and express ideas clearly.
Attends and contributes during meetings.
Demonstrates initiative to meet the needs of the Agency by assisting coworkers when workload permits.
Provides assistance in a courteous manner and treats others with care and respect.
Maintains a working knowledge of payer practices and reimbursement methodologies and becomes a subject matter expert in assigned A/R responsibilities.
Other duties as assigned and appropriate to the position.