Careers

Biller with HOME HEALTH BILLING experience

If you do NOT have Home Health Billing experience, please do not apply.

We are seeking a Reimbursement Analyst who will be responsible for Medicare, Medicaid & Managed care billing, reporting and reimbursement. We focus on electronic solutions to enhance our clients’ revenue cycle. The position will work directly with healthcare clients and insurance providers to facilitate a fluid process of billing claims timely and successfully. Prepare and audit claims electronically for appropriate payment. Prefer candidates who are currently working in the Home Health billing field for a payor or provider.

RESPONSIBILITIES:

• Reviews and maintains reports and records to ensure accuracy
• Stay up-to-date on PPS Billing guidelines
• Claims preparation and auditing

QUALIFICATIONS:

• Excellent customer service skills
• Medicare, Medicaid, Commercial & HMO, RCD/PCR billing and denial management skills
• Excellent PC skills are a must, including Medicare DDE (FISS) data entry, Email, Internet Research, Word Processing, and Patient Accounting software
• Knowledge to access the Medicare system and enter or edit claims directly
• Knowledge of Medicare secondary payer (MSP) claim submission
• Expertise in billing Commercial and Managed Care claims using paper or electronic medium
• Expertise in understanding Medicare denials and reason codes and ability to appeal the claims and get them paid successfully
• Preferred working knowledge of various EMR systems like WellSky/AXXESS/Noteefied/DSL/DEVERO
• Knowledge and experience of EDI enrollment/ credentialing with payor

MINIMUM JOB REQUIREMENTS:

***Home Health experience is a MANDATORY***

• High school diploma or GED
• 2 years of recent experience in home health
• Experience in Medicare Home Health Billing with expertise in Medicare FISS system
• Familiarity with PPS billing guidelines
• Experience with Home Health commercial managed care insurance billing