Accounts Receivable & Billing Specialist - Home Health

Sylvan Shores Health & Wellness; Houston (TX); On-site; USD 43,000 - 65,000; Full time

Benefits offered by this job

Competitive Pay

PTO & Holidays

Medical

Dental

Vision

Life insurance

LTD/AD&D insurance

Short-Term Disability

Supplemental Insurances

401(k) w/match

Job summary

Transition Home Healthcare and Pathways Hospice in Houston, TX is seeking an Accounts Receivable & Billing Specialist to ensure reimbursement through efficient billing and collections operations across home health and hospice services. This onsite role requires meticulous account maintenance and timely documentation in EMR systems.

You will manage aged AR, resubmit overdue bills, report billing metrics to Revenue Cycle Management, and maintain knowledge of payer contracts and authorization

Qualifications

• 1+ year experience with billing processes, AR, and billing systems in home health/hospice.
• Knowledge of multiple insurance plans and ability to research complex issues.
• Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook).
• Experience with Homecare Homebase (HCHB) EMR preferred.

Responsibilities

• Ensure reimbursement through efficient billing and collections operations and AR management.
• Update billing and patient account records in EMR systems accurately and timely.
• Work aged ARs, resubmit overdue bills, and escalate significantly delinquent accounts.
• Gather, collate, and report key billing information to Revenue Cycle Management.
• Maintain knowledge of payer contracts and authorization requirements.

Skills

Billing experience

AR management

Communication skills

Tools

Microsoft Office

Homecare Homebase EMR

Job description

At Transition Home Healthcare and Pathways Hospice, our associates are our most valuable asset. Each associate provides a service that directly or indirectly affects patients, families, other team members, and the public. We strive to excel in providing the highest quality healthcare and customer service possible, which is incumbent upon the excellence and commitment of our leaders and caregivers.

We are looking for a self-driven, organized individual who understands that in order to provide outstanding customer service to our patients, we must ensure that they have a great experience from the start!

Accounts Receivable & Billing Specialist - (Home Health & Hospice)

Onsite - Houston, TX 77081

We Offer:

• Competitive Pay
• Generous Paid Time Off (PTO) and Holidays
• Medical
• Dental
• Vision
• Life insurance & LTD/AD&D insurance
• Short-Term Disability
• Supplemental Insurances (Hospital Indemnity, Cancer Policies, Legal Plans, & More!)
• 401(k) w/match

Responsibilities:

• Ensure reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Ensure billing and patient accountrecords are updated in multiple EMR systems timely and accurately. Document all follow-up and necessary information in reference to the patient account.
• Work aged accounts receivables, resubmit bills on overdue accounts, and submit significantly delinquent accounts to supervisor for further collection.
• Gather, collate, and report key billing information to the Director of Revenue Cycle Management.
• Understand the billing information system and maintain comprehensive working knowledge including upgrades and enhancements.
• Establish and maintain positive working relationships with patients, family members,payors,and referral sources.
• Maintain comprehensive working knowledge of insurance company and authorization requirements.
• Has knowledge ofpayor contracts and ensurespayors are billed according to contract provisions.
• Protect the confidentiality of patient and organization information through effective controls and direct supervision of billing operations.
• Complete other tasks as required and designated by supervisor and/or administrator.

Qualifications:

• Minimum one (1) year of experience with billing processes, AR, prior authorizations, and billing systems in home health/hospice.
• Knowledge of different insurance and HMO plans and ability to research complex issues.
• Working knowledge of insurance(s) for home health, authorization, and appeals requirements.
• Proficient level experience in Microsoft Office (Word, Excel, PowerPoint, Outlook).
• Experience with Homecare Homebase (HCHB)EMR preferred
• Strong communication and interpersonal skills.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.