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Home Health Billing Specialist

Company: Executive Home Health, Inc.
Location: Pasadena
Posted on: March 15, 2019

Job Description:

OSITION SUMMARY The Billing Specialist is responsible for all aspects of billing and collections duties. ESSENTIAL DUTIES AND RESPONSIBILITIES The following is a representation of the major duties and responsibilities of this position. The Agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions.

  • Responsible for the entry of billing transactions and the accuracy and timeliness of transmitting to payer source, including electronic claims.
  • Collect information to have all claims processed or appealed.
  • Follow up on accounts receivable aged by insurance, inquiring on every outstanding balance on aging reports.
  • Track and resolve discrepancies based on denials, partial payments, and contracts.
  • Work with payers to determine reasons for denials, correct and reprocess claims for payment in a timely manner.
  • Responsible for managing and filing billing records.
  • Verification of home health multi-disciplinary visits for payroll process.
  • Assists with the Organization's compliance with federal and state regulations and JCAHO standards.
  • Participates in administrative/staff meetings as required.
  • Accepts and performs other duties and responsibilities as required. QUALIFICATIONS
    • Must be a high school graduate or possess a Graduation Equivalency Diploma (GED).
    • Knowledgeable in principles of billing.
    • Insurance, Medicare, and/or Medi-Cal knowledge preferred.
    • Data entry experience required.
    • Must be able to take directions and function as a team member, but at the same time work independently in a fast changing environment.
    • Strong interpersonal and communications skills.
    • Prior Home Health Billing Experience a must NO OUTSIDE RECRUITERS

      Keywords: Executive Home Health, Inc., Pasadena , Home Health Billing Specialist, Accounting, Auditing , Pasadena, California

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