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

ZGxTTXU0Ymg0YkZzNGNYSHB6MkYyMkpndkE9PQ==
  • 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, Local area, Relocation, Flexible hours, Monday to Friday,

Similar Jobs

Universal Perfumes & Cosmetics

TikTok Live Host & Social Media Coordinator Job at Universal Perfumes & Cosmetics

 ...TikTok Live Host & Social Media Coordinator Beauty & Fragrance Location: Hauppauge, NY (In-Person, Full-Time) About Us: Were a leading distributor of designer, niche, and Middle Eastern perfumes and skincare products, with a proven track record of creating viral... 

Carol E Yorke

Data Entry Assistant Job at Carol E Yorke

 ...Role Description This is a full-time on-site role for a Data Entry Assistant located in Santa Clara, CA. The Data Entry Assistant...  ...Ability to manage time efficiently and multitask Previous experience in similar roles is a plus High school diploma or equivalent... 

Inter-Con Security

Security Operation Center Supervisor Job at Inter-Con Security

 ...Job description Overview Founded in 1973, Inter-Con Security Systems, Inc. is a leading global security company, providing a full range of physical security services to government and commercial customers on four continents. Inter-Con specializes in providing customized... 

Anytime Fitness

Gym Manager Job at Anytime Fitness

 ...Job Title: Gym Manager Location: Denver Job Type: Full-time Salary: $55-75,000 We are seeking a motivated and experienced Gym Manager with sales expertise to oversee all aspects of gym operations. The Gym Manager will be responsible for selling membership and... 

Innovative Career Resources & Staffing

Administrative Assistant Job at Innovative Career Resources & Staffing

 ...County is looking to identify and hire a part-time Administrative Assistant for a 2-...  ...internet-based meetings. Be aware of and work with international time zones covering the...  ...Associates degree or equivalent work experience. Bachelors degree preferred. ~3-5 years...