Qualifications:
Home Health agency is seeking for a person who is a high school graduate or equivalent. Must possess a minimum of one-year billing experience in a home health agency and be knowledgeable about home care billing and collection, including Medicaid/Medicare PDGM,. EVV/Portals, Manage Care/HMOs, PPOs, and contracted billing procedure requirements. Must possess excellent analytical, oral and written communication and problem-solving skills. Must be self-motivated and an independent decision maker.
Job Duties:
1. Serves as the primary source for billing of claims to Medicaid EVV/Portal, Managed Care/HMO and Commercial Insurance Companies. Analyses the patient’s medical records chart prior to billing to ensure required paperwork and documentation is there so that a clean claim is submitted.
2. Assesses situations from a variety of perspectives, considers various alternatives and makes independent judgments choosing the appropriate course of action. Employee interacts with the clinical department in a professional manner to resolve issues.
3. Makes changes and/or updates appropriate patient information in the departments billing system in an accurate manner as needed. Employee requests re-bills or additional documentation or follows up based on changes to patient information.
4. Documents every action taken on account in system. Enters notes in the prescribed manner set by the billing department management staff.
5. Requests appropriate billing reports. Reports are reviewed and analyzed and manager is alerted of any changes that affect department goals.
6. Maintains technical knowledge and skills of the department’s computer system and telephone system for accurate utilization.
7. Evaluates level of inquiries and notifies management of potential trends in types of denials or rework.
8. Performs special projects, assignments and other work-related tasks as designated in a timely and professional manner.
9. Understands the billing and collection of Medicaid EVV/Portals, Manage Care/HMOs, PPOs.'
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Work Remotely
Job Type: Full-time
Pay: $25.00 - $30.00 per hour
Benefits:
Ability to Relocate:
- Miami, FL 33174: Relocate before starting work (Required)
Work Location: In person