POSITION SUMMARY:
Responsible for processing and mailing of claims; collecting on balance of accounts for assigned centers. Responsible for sending appeals on denied or rejected claims. Assists the AR Department to answer client inquiry and resolve client billing/collection concerns.
MAIN DUTIES AND RESPONSIBILITIES (Essential Functions of the Position):
* Responsible for reviewing and accuracy of charges and supporting documentation
* Responsible for matching authorizations with service dates.
* Responsible for editing the charges in the system (timecards, notes, etc)
* Responsible for follow-up on unpaid claims.
* Make recommendation for adjustments, write offs or referral to outside collection agency.
* Communicates appropriate information effectively to clients, Care Centers and co-workers.
* Maintain client files
* Perform special projects and other duties as assigned.
The preceding functions have been provided as examples of the types of work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of different positions and to make reasonable accommodations so that qualified employees can perform the essential functions of the position.
QUALIFICATION GUIDELINES
EXPERIENCE/TRAINING/EDUCATION/CERTIFICATION:
Required:
? High School Diploma
? Highly motivated and results oriented
? Customer service oriented
Helpful:
? Experience with UB-92 and HCFA 1500 billing codes
? Home Care or Home Health Care experience
KNOWLEDGE:
? Modern office practices, including office equipment
? Knowledge of rules and regulations governing accounts receivable issues
SKILLS/ABILITIES:
? Excellent written and verbal communication skills - Ability to read, write and speak English and communicate effectively with clients, payor sources, and co-workers.
? Minimum 5 years medical billing and accounts receivable experience, including 3rd party insurance, private pay clients, and contracts. Experience with Medicare, Medi-Cal, workers comp, HMO's & PPO's . Home Care experience preferred.
? Proficient computer skills and working knowledge of software programs.
? Ability to multi-task.
? Detail oriented.
? Basic Math skills.
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It is NOT ok to contact this poster with commercial interests.
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