Reimbursement Coordinator - Home Health

WellSky•Overland Park, KS

4d•Remote

About The Position

The Reimbursement Coordinator is responsible for following the reimbursement process to ensure timely and accurate payment for products and services provided to patients on behalf of WellSky clients. The scope of this job includes overseeing claims processing, payment posting and follow-up activities, along with addressing discrepancies and resolving claims denials.

Requirements

GED or High School Diploma
At least 1-2 years of relevant work experience
Home Health billing/reimbursement experience
Experience in EPIC EMR

Nice To Haves

Hospice or Palliative Care experience

Responsibilities

Obtain billing information from clients to generate claims, perform QA of charges, and make modifications or changes as required to produce a clean claim.
Submit claims to insurance companies within the individual insurance company's timely filing period, prepare and/or print all secondary claims that do not automatically cross over from Medicare or other primary payer, and track pending claims.
Utilize reports to determine tasks that require follow up and obtain claim's status by calling the payer and/or using an online claims status system.
Research claim payments, partial payments and over-payments, and take appropriate action for escalating claims not paid within 60 days or for denied appeals.
Perform collection follow up actions on primary and secondary claims as well as patient balances as assigned.
Prepare write-off forms when bad debt is identified and document description of the reason for each write-off.
Perform other job duties as assigned.