Location: West Palm Beach
About the Role:
Home Health Biller is responsible for obtaining benefit information and verifying Medicare, managed care, and Commercial plan coverage. Also helps to develop, plan, organize and implement current and future strategies to bill customers, process payments, improve cash flow and manage the overall health of the company’s receivables. Also responsible for managing, in cooperation with the Manager of Registration Services, and under the direction of the CFO, day-to-day activities of the organization as they relate to revenue cycle functions which include but are not limited to front office services, billing, collections, accounts receivables and financial planning for patients. They will also work closely with the branch to offer support to ensure claims are processed accurately and timely.
Job Responsibilities:
- Processing, monitoring, and collecting of Medicare, Managed Care and commercial insurance claims in accordance with Payor requirements.
- Verify accuracy of billing data and revising and errors.
- Importing / posting payments from the payor types.
- Creating and distributing various financial reports as needed.
- Timely resolution of all claims including appeals.
- Following up on accounts for billing and on overdue accounts for collections via phone calls, re-submission and adjustments for billing errors.
- Provides projections and reports as required, for development and management of budget; produce and analyze monthly reports that assist in the monthly forecast process.
- Monitors timeliness and effectiveness of department activities, ensuring that outstanding patient accounts and accounts receivables is no more than the agreed upon limit and that bad debt is within budgeted target.
- Monitors effectiveness of collection efforts and maintains insurance billings are current within the established time frame specified in the department policy.
- Enhance and standardize our work-flow processes throughout the revenue cycle to assist in achieving consistency in maintaining the critical success factors outlined in the Company’s standard operating procedures.
- Designs and develops the appropriate organization structure for the Revenue Cycle team.
- Ensures that HIPPAA Notice of Privacy Practices is on display, if applicable.
Qualifications/Education/Experience:
- High school diploma or equivalent.
- Comparable education and experience will be considered.
- Minimum of 2 years of experience in Medicare Home Health, Home health Billing experience preferred.
- Strong background in financial management and knowledgeable of federal and state laws and requirements relating to healthcare management.
- Ability to multitask, ensuring the communication and organization skills.
- Strong managerial competencies in the areas of leadership and team development, managerial coaching and mentoring, and situational assessment skills and with proven track record in building and developing high performing teams.
About Us:
Comfort Care Homecare Inc. Is an ACHC accredited Medicare certified Home Health Agency, We are a reliable provider of top-notch home healthcare services in South Florida. Our committed team of professionals are devoted to delivering superior care to our patients in the comfort of their homes. We prioritize fostering a positive work environment for our staff and are deeply enthusiastic about making a positive difference in the lives of those we serve.
Salary:
From $45,000 to $55,000 per year
Salary :
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