Home Health Self Pay Patient Accounts Receivable Specialist

CenterWell

4d • $43,000 - $56,200 • Remote

About The Position

This is a remote full time position scheduled for 40 hours, 5 days a week. You will be scheduled Monday-Friday for 8 hour shifts between the hours of 8:30am-5pm CST. As a Home Health Self Pay Patient Accounts Receivable Specialist, you will report directly to the Accounts Receivable Supervisor for Patient Accounts. You will be responsible to: Ensure the coordination of claim activities, and timely reimbursement of receivables. Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices. Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances. Clear payment variances, resolving differences, and initiating corrective action. Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing. Prepare input data forms to update computer system. Review and communicate with agencies to educate them about expectations for clean claims.

Requirements

• High School Diploma or the equivalent
• 2 or more years of medical claims processing experience
• Knowledge of healthcare collection procedures and software/hardware
• Proficient using Microsoft Office applications including Word, Excel, Outlook and Teams
• Self-provided internet service with at minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps; wireless, wired cable or DSL connection is suggested.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

• Occasional travel to Humana's offices for training or meetings may be required.

Responsibilities

• Ensure the coordination of claim activities, and timely reimbursement of receivables.
• Research, resolve, and prepare claims that have not passed the payer edits daily.
• Determine and initiate action to resolve rejected invoices.
• Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
• Clear payment variances, resolving differences, and initiating corrective action.
• Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing.
• Prepare input data forms to update computer system.
• Review and communicate with agencies to educate them about expectations for clean claims.

Benefits

• medical
• dental
• vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED