Medical Billing Specialist – Home Health

Southwoods Health•Boardman, OH

43d•Onsite

About The Position

Southwoods Health is hiring a Medical Billing Specialist for our Home Health division. The successful candidate will be responsible for submitting claims to third-party payers, resolving edits daily within the EMR and clearinghouse, and handling correspondence regarding billing inquiries.

Requirements

Training or coursework in business office activities, computer skills, and medical terminology.
Effective communication skills and the ability to problem-solve.
Ability to maintain a professional demeanor at all times, with strong ethical and moral principles.

Nice To Haves

Two or more years of collections or billing experience.
Home Health coding experience (not required).

Responsibilities

Resolve edits daily through the EMR or clearinghouse to produce clean claims.
Verify the accuracy of all insurance information.
Send original claims along with any necessary supporting documentation.
Determine the need for supporting documentation required by specific insurance companies or cases, and copy documents for inclusion with claims.
Submit secondary claims, ensuring that primary payment information is captured.
Understand and abide by billing compliance regulations.
Follow up with a Coding Specialist and/or Collection Specialist when necessary to correct claims accurately.
Answer billing questions in a clear and polite manner.
Understand patient confidentiality laws and the requirements for releasing information.
Identify billing errors—such as needed changes in procedures or policies—and report them to a supervisor.
Forward all complex or problematic questions to the applicable supervisor.
Ensure all processes at the responsible physician practice maintain compliance with all regulatory agencies.
Perform insurance authorizations.
Perform other duties as assigned.