Job Description

Job Description

Job Description

About the Opportunity

Does working for an established Home Health agency sound like the professional challenge you are seeking? Discovery at Home offers significant opportunities for growth and career advancement. Employees are encouraged to take responsibility for their own careers. You'll be working with incredible individuals with boundless creativity.

The Medical Billing Specialist role is responsible for the daily billing audit, filing, and receipt of claims with Medicare, private insurance and private pay parties.

RESPONSIBILITIES:

1. The Medical billing specialist is responsible for submitting home health claims to private insurance companies and Medicare, in a timely and accurate manner, as well as in accordance with written contracts
2. Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
3. Follow up on all unpaid claims within standard billing cycle timeframe
4. Call insurance companies regarding any discrepancy in payments if necessary.
5. Oasis exports, reports, and corrections weekly.
6. Researching and appeal all denied claims
7. Answering phones and responding to all medical billing questions.
8. Must make necessary follow-ups if payments are not received on time and follow government and commercial insurance rules and regulations and make sure that follow best legal practices for collections.
9. Must prepare regular reports that are related to account receivables and other relevant issues.
10. Participates interdisciplinary team conferences and represents agency in the community as requested.

QUALIFICATIONS:

• High school diploma or equivalent
• One year experience in a certified Home Health Agency with Medicare Billing
• Should be a skilled organizer able to manage office files with attention to detail and time management.

BENEFITS:

• Competitive Salary
• Medical, Dental, Vision
• 401k with match
• Company Paid Life Insurance
• Disability Insurance, Flexible Spending Account & More
• Paid Holidays
• Referral Bonus
• Free CEUs
• Growth Potential

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