Billing Representative

UVM Home Health, Inc.; Middlebury (VT); Hybrid; USD 40,000 - 55,000; Full time

Job summary

A leading home health company is seeking a Claims Processor for a hybrid remote position based in Middlebury, VT. The successful candidate will be responsible for resolving patient accounts, managing insurance claims, and ensuring maximized reimbursements. A High School diploma is required along with 1-3 years of relevant experience in claims processing, making communication and analytical skills essential for success.

Qualifications

• 1-3 years of experience in medical office insurance claims processing.
• Familiarity with CPT, HCPCS, ICD-9CM/ICD10 and CMS regulations.
• Knowledge of CMS1500 and UB04 claim completion.

Responsibilities

• Resolves patient accounts managing claims processing and denial management.
• Collects and maximizes reimbursement while maintaining public relations.
• Accountable for activities within the assigned accounts receivable.

Skills

Analytical skills

Oral communication

Written communication

Attention to detail

Problem-solving

Education

High School diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

This is a hybrid remote position. There will be required days in the office located in Middlebury, VT.

Job Description
Resolves patient accounts by performing claims processing, denial management and follow-up activities to effectively collect balances due- maximizing reimbursement while maintaining favorable public relations. Part of a payor team, this position is assigned a specific portion of the accounts receivable and is held accountable for the activity within the assigned A/R.

Education
High School diploma or equivalent required.

Experience
1-3 years of experience in a medical office working with insurance claims processing involving CPT HCPCS, ICD-9CM/ICD10, and CMS regulations.
Familiarity with CMS1500 and UB04 claim form completion.
Strong analytical, oral, written communication skills.
Familiarity with health insurance and other third party billing practices and guidelines.
Proficient in Microsoft word, Excel, Outlook and the like.
Basic Mathematical skills required
Uses personal experience, knowledge and other outside resources to make logical decisions to solve problems.
Accuracy and an attention to detail