Job description

Get a job that impacts lives. Including your own. Pure Home Health Care boasts a talented team of passionate professionals dedicated to delivering outstanding care wherever it's needed. Our mission is to recognize the inherent value of everyone we serve, and honor them with the highest level of personal service and professional skill. Our team approach relies upon a variety of nurses and therapists to create and implement a customized care plan that takes into account a patient’s emotional and physical needs.

As the Medical Biller your job will be to support various administrative functions of the office to ensure the clinical team is free to do what they do best - patient care.

Job Purpose:
The main purpose of the Medical Biller is to generate revenue by performing eligibility verifications and by complete and accurate billing, and collections of all claims submitted for payment to Medicare, Medicaid, and commercial insurance health care programs, and to receive private payments as needed.

Duties:

• Accurately enters patient billing data, including visit charges and supply charges, into the information system.
• Follows up with patients and insurance companies as necessary to receive payments.
• Perform insurance verification and authorizations at intake, as well as perform insurance re-authorizations.
• Accurately processes and bills Medicare, Medicaid, private payer and patient claims in accordance with payer requirements and organization policy.
• Assists in the preparation of monthly billing and accounts receivable reports.
• Maintains accurate Medicare and Medicaid billing analysis reports.
• Monitors for Medicare Additional Development Requests (ADR) and alerts appropriate management of ADR.
• Maintains complete and accurate billing and accounts receivable records.
• Prepares Medicare, Medicaid, private payer and patient remittances for data entry.
• Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur.
• Maintains work operations by following policies and procedures, reporting compliance issues.
• Maintains quality results by following standards.
• Updates job knowledge by participating in educational opportunities.
• Serves and protects the agency by adhering to professional standards, agency policies and procedures, federal, state, and local requirements, and CHAP standards.
• Enhances billing department and agency reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.

Skills/Qualifications:
Thorough knowledge of insurance types and portals, Medicare billing experience, Authorization experience , Legal Compliance, Quality Focus, Productivity, Time Management, Organization, Attention to Detail, Documentation Skills, Analyzing Information, General Math Skills, Resolving Conflict

Job Type: Full-time

Pay: $18.00 - $19.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Medicare Advantage Plans billing: 1 year (Required)

Work Location: One location

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