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Overview
CareRing Health is seeking a Billing Specialist who is outcome-oriented, has strong prioritization skills, and a knack for numbers. Preference for an associate’s degree in accounting or a related field, with experience in collections, invoicing, and/or accounts receivable.
Responsibilities
- Generate and submit billing for homecare visits and ensure collection and posting of payments and adjustments.
- Ensure successful entry of all medical visits into the practice management EHR Medical Billing System.
- Reconcile charges and data entered into the system, assuring 100% data entry accuracy, correct provider, medical service, and coding.
- Collect accounts receivable from various revenue sources, including Medicaid, MCO programs, Medicare, Medicare Advantage, insurance, and patient responsibilities.
- Appeal, troubleshoot, prepare denied claims for rebilling, and correct unpaid claims for re-submission daily.
- Request and follow up on additional information needed for auditing claims and revenue reports.
- Submit claims to insurance companies daily as necessary.
- File all correspondence into patient charts.
- Negotiate settlements with insurance companies and courts with the assistance of the Billing Manager.
- Audit submitted claims daily to respond to rejections, denials, and short-pays to ensure timely collections.
- Review and post Remittance Advice to the EHR Medical Billing System.
- Perform adjustments within the EHR Medical Billing System according to department guidance.
- Follow billing policy guidelines and documented procedures.
- Demonstrate and uphold CareRing’s principles of providing quality health and human services to underserved and low-income populations in a culturally sensitive manner.
- Other duties as assigned.
Qualifications
Education and Experience:
- Associate’s degree preferred.
- Experience posting and balancing payments.
- Experience billing Medicaid, Medicare, and commercial health plans preferred.
- University/college degree is an asset.
Skills and Abilities:
- Accounting experience preferred but not required.
- At least 1 year of experience with collections, invoicing, and/or accounts receivable.
- Strong attention to detail and accuracy.
- Ability to analyze large data sets.
- Experience with an EHR medical billing system.
- High familiarity with AR functions.
- Excellent verbal and written communication skills.
Seniority level
Employment type
Job function
- Accounting/Auditing and Finance
Industries
- Home Health Care Services