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The Billing Specialist processes home health billing for multiple payers and manages the full accounts receivable cycle from admission to balance satisfaction. They are also responsible for following up on denied claims, performing payment processing, and maintaining accurate patient billing files.
Candidates must have a high school diploma and at least two years of experience in a business or medical office setting. Proficiency in Microsoft Office, strong organizational skills, and the ability to handle high-volume data entry are required.
The Billing Specialist works under the supervision of the Revenue Cycle Director. The primary functions of this position are to process home health billing for multiple payers, manages accounts receivable from admission to satisfaction of balance due, ensure follow-up of denied claims, collections, payment processing and perform other billing functions to aide in the smooth flow of work in the billing department. Performs other duties as assigned.
PRIMARY JOB DUTIES
1. Ensures accurate billing for all Medicare, Medicaid, Commercial insurance and private pay claims depending on assigned payers.
2. Follows up on delinquent accounts.
3. Maintains patient billing files, EMR billing notes and light typing/correspondence.
4. Organizes and performs work effectively and efficiently.
5. Maintains and promotes customer satisfaction.
6. Effectively demonstrates the mission, vision and values of the Agency on a daily basis.
JOB SPECIFICATIONS
1. Education: High school diploma. AS in business related curriculum helpful.
2. Licensure / Certifications: None
3. Experience: Two years of experience in business office, preferably medical office, required. Home Health experience preferred.
4. Essential Technical/Motor Skills: Working knowledge of Word, Excel, Outlook, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements. Advanced customer service skills to respond with simple answers.
5. Interpersonal Skills: Teamwork and communication skills essential. Must communicate precisely, verbally and in writing.
6. Essential Physical Requirements: Long periods of sitting or standing, walking, lifting and carrying files, reaching, stooping, long periods of data entry.
7. Essential Mental Abilities: Ability to concentrate with large volumes of data entry, handle pressure of deadlines, good judgment, ability to follow procedures, ability to work independently. Ability to work in fast paced environment. Must have excellent organizational skills and mathematical aptitude. Able to research and resolve problems independently before referring to supervision.
8. Essential Sensory Requirements: Visual acuity, touch, hearing
9. Exposure to Hazards: Office environment, toner for office machines, high pitch of printers.
10. Other - Hours of Work: 40 hour week, Monday - Friday. Overtime may be required during peak workloads or increase in volume.
Keeping our communities healthy, happy, and at home!
For more than 37 years, Well Care Health has built its five-star reputation across the Carolina’s as being one of the most trusted providers of high quality, specialized in-home health care. Our services guide patients through their recoveries in the comfort of their own homes, and the needs of our patients and their families are our top priority. Our solutions-based recovery plans are customized to fit each patient's needs and our outstanding quality of care has earned us the reputation of providing the best in-home care services available. Our well-trained and experienced health care professionals provide the highest level of quality care and specialized rehabilitation programs. You can count on our experience, professionalism, and reputation to ensure that your needs will be met with the utmost care giving you the comfort and peace of mind you deserve.
Offices: 6752 Parker Farm Drive, Wilmington, NC 28405, US · 8025 Creedmoor Road, Suite 200, Raleigh, NC 27613, US · 118 Ocean Highway, PO Box 475, Supply, NC 28462, US · 1715-C Country Club Road, Jacksonville, NC 28540, US · 1349 S. Madison Street, Whiteville, NC 28472, US
