Billing Analyst II

Graham Healthcare Group; United States; Remote; USD 40,000 - 70,000; Full time

Job summary

Join a forward-thinking company as a Billing Analyst II, where you'll play a crucial role in ensuring timely and accurate claims filing with payers. This position offers the chance to work in a dynamic environment, handling Medicare and Non-Medicare claims, conducting audits, and addressing billing inquiries. With a focus on innovation and a commitment to employee growth, this role provides opportunities for advancement and a supportive team atmosphere. If you have a strong background in billing and a passion for healthcare, this is the perfect opportunity to make a meaningful impact.

Benefits

Competitive pay with advancement opportunities

Health, dental, and vision insurance options

Company-paid life and disability insurance

Generous PTO

Retirement plans including 401k and pension

Educational discounts for courses at Purdue and Kaplan

Qualifications

• 1-5 years of billing experience in home health care.
• Proficiency in Microsoft Office Suite and billing software.
• Strong communication and attention to detail.

Responsibilities

• Perform claim audit reviews for Medicare and Commercial payers.
• Manage Medicare claims workflow and process Oasis reports.
• Address billing queue calls and collect patient payments.

Skills

Billing experience in home health care

Proficiency in Microsoft Office Suite

Strong communication skills

Attention to detail

Patience and flexibility

Education

High school diploma or equivalent

Associate degree preferred

Tools

HCHB

Esolutions

Waystar

Medicare FSSO DDE software

Job description

Job Title

Billing Analyst II

Location

Remote/Nationwide, USA

Additional Location(s)

Employee Type

Employee

Working Hours Per Week

40

Job Description

SUMMARY

Support Billing management to ensure timely and accurate claims filing with payers and intermediaries. Monitor claims for timely payment processing and rejections, and work Accounts Receivable weekly.

BILLING ANALYST RESPONSIBILITIES

Include the following. Other duties may be assigned as necessary:

1. Perform claim audit reviews for Medicare, PDGM Medicare, and Commercial payers.
2. Make daily RAP/NOA and EOE submissions to the state for all payers.
3. Manage Medicare/Medicare PDGM Claims Held workflow.
4. Process Oasis reports.
5. Review unbilled reports for Medicare and Non-Medicare weekly.
6. Bill Medicare/Non-Medicare claims daily.
7. Work daily NOA's at Risk Report.
8. Verify visits have usual and customary rates and contractual adjustments bi-weekly.
9. Address Medicare/Non-Medicare claim rejections.
10. Enter billing notes on accounts over 30 days.
11. Make insurance calls to check claim status.
12. Process requests for additional information from insurance companies.
13. Respond to billing queue calls.
14. Collect patient payments via phone.
15. Work monthly Medicare, Medicare HMO, and third-party agency billing.
16. Review Monthly SOX report for accounts over 30 days with billing notes.
17. Handle payer changes.
18. Cover department duties during employee absence.
19. Perform other duties as assigned.

BILLING ANALYST REQUIREMENTS

To perform successfully, must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made for disabilities.

• High school diploma or equivalent; associate degree preferred.
• 1-5 years billing experience in home health care.
• Proficiency in Microsoft Office Suite.
• Knowledge of HCHB, Esolutions, Waystar, and web portals.
• Knowledge of Medicare FSSO DDE software.
• Strong computer skills.
• Patience, flexibility, cooperative attitude.
• Strong communication skills.
• Attention to detail and conscientiousness.

CERTIFICATES, LICENSES, REGISTRATIONS

Maintain in good standing any relevant professional licenses or certifications.

PHYSICAL DEMANDS

Regularly required to talk, hear, stand, walk, sit, climb stairs, handle objects, reach, and lift up to 20 pounds. Vision requirements include close focus and adjustable focus.

WORK ENVIRONMENT

Primarily in a clerical office setting, using standard office equipment. May involve travel and exposure to weather conditions.

COMMENTS

This description covers essential functions and general responsibilities. Other duties may be assigned, and management may modify duties as needed.

About Graham Healthcare Group:

Innovating healthcare solutions for over 20 years, integrating across the healthcare continuum.

Benefits include:

• Competitive pay with advancement opportunities.
• Health, dental, and vision insurance options.
• Company-paid life and disability insurance, FSA, HSA.
• Generous PTO.
• Retirement plans including 401k and pension.
• Educational discounts for courses at Purdue and Kaplan.

Benefits vary by employment status.

NOTICE

• Drug screening required prior to employment.
• Consent to communication via phone or text.
• Legal authorization to work in the U.S. required.

Graham Healthcare Group is an Equal Opportunity Employer