Overview
CareRing Health is seeking a Billing Specialist who is outcome-oriented, has strong prioritization skills, and has a knack for numbers. Prefer an associate's degree in accounting or a related field and experience with collections, invoicing, and/or accounts receivable.
Responsibilities
* Generate and submit billing for homecare visits and ensure collection and posting of payments and adjustments.
* Ensure successful entry of all medical visits into the practice management EHR Medical Billing System.
* Reconcile charges and data entered into the system, assuring 100% data entry accuracy; assure correct provider, medical service, and coding are billed.
* Collect accounts receivable from various revenue sources, including states Medicaid and MCO programs, Medicare, Medicare Advantage, government and commercial insurance, and patient responsibility.
* Audit and troubleshoot claims, preparing denied claims for rebilling and correcting unpaid claims for resubmission on a daily basis as necessary.
* Request and follow up on additional information needed for auditing of claims and all revenue reports, including eligibility, benefits, and provider information.
* Submit claims to insurance companies on a daily basis as necessary.
* File all correspondence into patients' charts.
* Negotiate settlements for payments with insurance companies and courts with assistance from the Billing Manager.
* Audit submitted claims daily to respond to rejections, denials, and short-pays to ensure timely collections.
* Review and post Remittance Advice to EHR Medical Billing System.
* Perform Adjustments within EHR Medical Billing System according to department guidance.
* Follow billing policy guidelines and documented procedures.
* Demonstrate CareRing's principles of providing quality health and human services to medically underserved and low-income populations in a culturally sensitive manner.
Qualifications
* Associate's degree preferred.
* Experience posting and balancing payments.
* Experience billing Medicaid, Medicare, and commercial health plans for medical services preferred.
* University/college degree is an asset.
Skills and Abilities
* Accounting experience preferred but not required.
* 1 year experience with collections, invoicing, and/or accounts receivable.
* Strong attention to detail with a dedication to accuracy.
* Ability to analyze large sets of data.
* Experience working with an EHR medical billing system.
* High degree of familiarity with AR functions.
* Excellent verbal and written communication skills.