Job Description
Home Health Office seeking medical billing, coding and eligibility specialist. Hybrid position will be considered. Part-time initially - will be increasing to full-time with benefits. Applications to be accepted and considered until June 1, 2025. Position will begin between June and July, 2025.
General Purpose:
Facilitates prompt and accurate billing, determines patient and client insurance eligibility and coverage, monitors the client receivable status, and initiates collection protocols to prevent past due invoices.
Essential Functions:
- Performs branch payroll activities including, but not limited to, transferring/inputting client orders to the system, organizing and inputting time slips, verifying visit for each client, calculating pay, making appropriate deductions, auditing input and ensuring readiness for payroll processing.
- Complies with all federal, state and local laws and regulations regarding the payroll function by using the appropriate accounting standards.
- Provides management with needed billing reports.
- Generates billing information from the system and sends to appropriate party.
- Maintains billing system, including entering and assuring accuracy of all billing information.
- Tracks all invoices with special payment terms, including credit card and bank drafts.
- Responds to inquiries from clients, payer and offices in a timely manner. Takes appropriate steps to resolve areas of concern within limits of authority.
- Documents all client calls in the billing system.
- Provides weekly reports for management.
- Analyzes accounts receivable file to determine potential receivable problems.
- Contacts clients and payer sources to facilitate debt collection.
- Serves as liaison between billing and monitoring centers to ensure prompt and accurate invoicing.
- Monitors the aging report and send appropriate alerts to enter for delinquent accounts.
- Recommends strategies to improve collection on past due accounts.
- Determines eligibility for services based on insurance coverage.
- Reviews account receivable file to determine potential bad debts and notify manager with recommended write-offs.
- Prioritizes workload to complete tasks within required timeframe.
- Completes other assignments as requested and assigned.
- May have access to personal health information (“PHI”) necessary to fulfill the above duties and responsibilities. Access to use and ability to disclose PHI is further defined by each organization/department.
Minimum Education & Experience Requirements:
*
Associate Degree in Accounting or equivalent years experience and training OR
- Certificate in medical coding/billing
Two (2) years collections and billing experience, preferably in the home health industry.
Knowledge, Skills & Abilities Required:
*
Strong background of problem solving regarding billing and payables issues.
*
Detail oriented with strong organization, analytical and problem-solving skills.
*
Advanced communication and interpersonal skills.
*
Proficient with Microsoft Word, Excel and PowerPoint software.
*
Ability to read and interpret financial reports.
*
Demonstrated ability to work under pressure with multiple tasks, changing priorities, short deadlines and heavy workload.
* Working Conditions & Physical Effort:
- Work is normally performed in a typical interior/office work environment.
- Ability to work flexible schedule and/or evening hours as needed.
- Ability to sit in front of CPU for long periods of time.
- Physical activity is sedentary and may require occasional lifting or carrying up to 10 lbs.
Job Tags
Full time, Part time, Local area, Home office, Flexible hours, Afternoon shift,