Billing Representative (HHAeXchange Experience a plus!)

True Care; New York (NY); On-site; USD 45,000 - 60,000; Full time

Job summary

True Care in the New York metropolitan area is seeking a Billing Representative to create, review, and process our billing and payments for authorized clients using online portals and electronic resources for improved timing and efficiencies.

He/she follows up on all claim denials and ensures timely payment for billed services, ensuring HIPAA compliance and close collaboration with the Finance Department to resolve issues.

Qualifications

• Experience with medical billing and ICD-10 coding.
• Knowledge of revenue codes and units.
• Proficiency with HIPAA compliance and patient privacy.
• Experience using billing portals and electronic resources.

Responsibilities

• Conduct weekly billing & electronic billing for assigned contracts.
• Review all billing information for accuracy and submit to the correct parties.
• Process payments received and relay pertinent information to parties as required.
• Maintain agency weekly billing cycle, follow up on claims, ensure visits are paid.
• Run reports to locate discrepancies and ensure accuracy.
• Collaborate with Finance Department to resolve billing issues.
• Investigate denied claims and provide documentation for re-processing.
• Advise on service changes based on payments or denials.
• Coordinate with authorizations and intake on eligibility needs.
• Ensure HIPAA regulations are adhered to.

Skills

Billing experience

Attention to detail

Customer service

Computer literacy

Education

High School Diploma or equivalent

Degree in business administration or accounting (nice to have)

Tools

HHAeXchange

ePACES

Job description

Company Overview:

True Care is a licensed Home Care Agency providing outstanding homecare service in the New York Metropolitan area. Our passionate dedication to our clients sets True Care apart. We work with our clients individually to ensure their satisfaction and comfort with the paraprofessionals caring for them. It is our mission to continue to raise the standard of homecare services. We are committed to providing the highest level of care by maintaining excellence in staff, procedures, and responsiveness. The True Care team is Healthcare professionals who are committed to helping our patients and caregivers experience the most excellent care.

Reporting to:

Director of Billing

Job Summary:

The Billing Representative creates, reviews, and processes our billing and payments. The Billing Coordinator generates weekly invoices for services rendered to authorized clients using online portals and electronic resources for improved timing and efficiencies. He/she follows up on all claim denials and ensures timely payment for billed services.

Job Responsibilities:

• Conduct weekly billing & electronic billing for assigned contracts
• Closely reviews all billing information for accuracy and submits all billing information to the correct parties
• Process payments received and relay pertinent information to the appropriate parties as required
• Responsible for keeping up with the agency's weekly billing cycle, follow up on all claims, and ensure that billed visits are paid
• Ensure accuracy by routinely running reports to locate potential discrepancies
• Work collaboratively with the Finance Department to resolve outstanding billing issues
• Investigate denied claims and procure necessary documentation to provide to the contracts for re-processing denials
• Communicate with appropriate departments to advise a change in service requirements based on payments or denials
• Collaborate with authorizations and intake teams regarding patient eligibility needs based on payments or denials
• Ensure HIPAA regulations are adhered to
• Follow Agency policies and procedures
• Performs other duties as assigned

Job Requirements:

• High School Graduate or equivalent or degree in business administration, accounting or a related field a plus
• Prior billing experience, knowledge of ICD 10 codes; understanding of revenue codes and units
• HHAeXchange proficiency is a plus
• Work experience in accounting. Experience in ePACES is a plus
• Excellent customer service skills and phone etiquette
• Computer literate with working knowledge of basic office software technology.
• Extremely detail-oriented, good auditing eye and ability to review a document for certain key elements
• Patience and calm demeanor to deal with difficult scenarios.
• Positive and upbeat attitude