Billing Specialist — Home Care Payments & Denials

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

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.