Job Type
Full-time
Description
A Home Health Billing Specialist ensures the revenue for services provided by home health agencies are billed, collected, and reimbursed appropriately.
Schedule: Full-time, Monday - Friday, 8 Hour shifts
Hybrid: 4 Days home, 1 day in office
Location: Sandy, Utah
Pay: $18+ per hour, depending on experience
Responsibilities and Duties:
- Preparing and submitting clean claims to various insurance companies, Medicare, and Medicaid
- Obtaining claim status from Medicare, Medicaid, and insurance plans via phone and/or online portals
- Reviewing claims for resolution and payment in a timely manner for maximum reimbursement
- Analyzing remittance advices to ensure accurate and timely posting of rejections, payments, and contractual adjustments
- Posting payments received and adjudicating accounts
- Maintaining a working knowledge of payer practices and reimbursement methodologies
- Becoming a subject matter expert in all payers and assigned billing and A/R responsibilities
- Researching, compiling, and responding to documentation requests from payers
- Establishing and maintaining positive working relationships with agencies
- All other duties as assigned
Requirements
To perform the job successfully, an individual should demonstrate the following
competencies to perform the essential functions of this position:
- Proficient in mathematical, verbal, written, and computer skills, as well as reasoning ability
- Excellent communication, organization, and follow-up skills
- Ability to handle multiple assignments simultaneously
- Attention to detail and the ability to work independently
Job Qualifications:
- Previous medical accounts receivable experience required
- 1 year of previous medical billing experience required
- Knowledge of home health operations preferred
Physical Requirements:
- Regularly required to walk, sit, stand, bend, reach, lift, and move about
- Ability to communicate effectively, both orally and in writing.
- To perform other duties as required
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