Billing Specialist Job at 365 Health Services, Bala Cynwyd, PA

NWtjdW1TUVNSVk5SeEVlR1NtRHZFTjV6aVE9PQ==
  • 365 Health Services
  • Bala Cynwyd, PA

Job Description

The Billing Specialist contributes to the billing functions and coordinates and manages the accounts receivable (AR) duties including accurate and timely completion and submission of the billing, collections, and management of the computer information system for billing of Medicare, Medicaid and other third party payers both electronically and on paper.

  • PRIMARY RESPONSIBILITIES

Accounts Receivable

  • Accurately enters patient/client billing data, OASIS, visit charges, fee for service charges, and verifies discharge and admission data.
  • Coordinates, reviews, and analyzes documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing.
  • Coordinates, reviews and analyzes accounts receivable tracking tools and maintains accounts receivable files in order to ensure accurate and timely claim submission and to prevent lost revenue.
  • Ensures patient eligibility is confirmed through insurance companies and the Medicare or Medicaid systems as appropriate, and that the necessary paperwork is accurate and submitted timely to prevent lost revenue.
  • Maintains tracking tools and data to ensure that all necessary information is secured for timely accurate payment. This includes eligibility, insurance verification, authorizations, certification and recertification as well as state required documentation for Medicaid.
  • Ensures that the appropriate payers have been identified and verified. This includes securing and reviewing the Medicare secondary payer questionnaire, verifying required authorizations are in place with the Medicaid MCOs, etc.
  • Assists in the preparation of monthly accounts receivable review reports in order to ensure accuracy and timely processing of claims billed.
  • Alerts appropriate management team members regarding late or missing documents required for billing.
  • Works to rebill and collect old accounts receivable and claims that have been rejected for payment.
  • Alerts the Billing Manager of seriously overdue accounts receivable.
  • Oversee prebilling processes by including, but not limited to, reviewing invoices created to ensure accurate data, clearing and being the direct contact for non-billable partial visits and over-authorizations, and clearing information as necessary from the EVV Aggregator.

General Guidelines

  • Adheres to the agency’s Code of Conduct, conducting all business activities in a professional and ethical manner.
  • Interacts with all staff, patients/clients, payers, and other customers in a positive fashion supporting the agency’s mission and vision.
  • Complies with the agency’s general orientation and to agency policies and procedures including confidentiality and HIPAA guidelines.
  • Maintains the confidentiality of patient/client and agency information at all times.
  • Ensures compliance with local, state and federal laws, and established agency policies and procedures.
  • Participates in staff meetings, department meetings, team meetings, briefings, inservices, committees and other related activities as needed.

Job Types: Full-time, Part-time

Pay: $20.00 - $28.00 per hour

Benefits:

  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Paid sick time
  • Paid time off
  • Vision insurance
  • Work from home

Schedule:

  • Monday to Friday

Ability to Relocate:

  • Bala-Cynwyd, PA 19004: Relocate before starting work (Required)

Job Tags

Hourly pay, Full time, Part time, Local area, Relocation, Flexible hours,

Similar Jobs

BIP US (Formerly BIP.Monticello)

Java Developer, Capital Markets Job at BIP US (Formerly BIP.Monticello)

 ...intersection of business and technology we design, develop, and deliver sustainable solutions at...  ...in designing, developing, and deploying software, working closely with technology-focused...  ...days. ~ Paid parental leave. ~ Remote/hybrid work environment support. For... 

The Planet Group

UX Production Designer Job at The Planet Group

 ...UX Production Designer Location: Remote but local to Cupertino, CA, Culver City, CA, or New York, NY Duration: 12 months to start Pay: ~$72/hr, DOE (W2 and benefit options) Planet Interactive is looking for a UX Production Designer to join our well-... 

Fresh Express

Environment, Health and Safety Manager Job at Fresh Express

 ...The Safety Manager is responsible for all facets of Safety/Health/Security and regulatory compliance of employees, temporary workers...  ...safety and health issues within their department. Conduct mock OSHA inspections and serve as the regulatory liaison for both safety... 

Waterfall Community Health Center

Patient Navigator/Care Coordinator (PN) Job at Waterfall Community Health Center

 ...Job Title: Patient Navigator/Care Coordinator (PN) Job Category: Social Health Wage Classification: Hourly/Non-exempt Location: North Bend/Coos Bay Position Type/Status: Full-time, benefitted Travel: Minimal Salary Range: $23.68 - $31.23 per hour... 

LHH

Executive Recruiter Job at LHH

 ...Must be located in the Portland area. Come join our growing team! The Executive Recruiter is responsible for executing the full life cycle of direct hire recruiting for top tier, mid- to senior-level professional direct hire job orders for a variety of clients. Partners...