Billing Specialist — Maximize Reimbursements & Cash Flow

Aveanna Healthcare; Atlanta (GA); On-site; USD 36,000 - 56,000; Full time

Benefits offered by this job

Health insurance

401(k) matching

Employee Stock Purchase Plan (ESPP)

Career Path

Job summary

Aveanna Healthcare is seeking a Billing Specialist to manage aged patient accounts and maximize recoveries. The role reports to the Reimbursement Supervisor and requires strong attention to detail and communication with branch staff.

Based in Atlanta, GA, the position emphasizes timely collection from commercial, Medicare, Medicaid and private pay payers, with emphasis on SOX controls and accurate documentation in the EMR system.

Qualifications

• High school diploma or equivalent.
• Minimum six (6) month prior healthcare insurance experience.
• Computer literate and ability to type, file and maintain audit records.

Responsibilities

• Works and collects delinquent A/R accounts.
• Documents collection efforts in EMR notes screens to include payer contacts, phone numbers, issues, actions taken, etc.
• Maintains current AR at an acceptable percent.
• Maintains DSO at an acceptable level.
• Achieves cash goal on a quarterly basis.
• Keeps supervisor, and branch location personnel informed of any significant collection payer or processing issues.
• Submits adjustments in an accurate and timely manner.
• Requests Bridge Tickets to correct and update EMR.
• Works with Biller to ensure claims are refiled and/or billed to the second insurance in a timely manner.
• Understands payer specific requirements for submitting claims (i.e. includes CMN's, nursing notes, invoices, etc.).
• Understands and enforces SOX 404 controls
• Reviews and responds to correspondence received from payers.
• Reviews and submits guarantor statements as required. Responds to questions from patients regarding statements.
• Addresses denials in an accurate and timely manner.
• Completes document request forms and forwards to location as required.
• Provides exceptional customer service.
• Evaluates data, reports, feedback, observations and other information in determining priorities.
• Uses prior knowledge and industry specific, historical experiences in resolving problems.
• Conducts all assignments as a professional and role model with a sense of urgency.
• Uses professional communication and conflict resolution techniques as required.
• References and reflects upon the Company mission, values, and strategic imperatives in completing and/or assigning all work.

Skills

Attention to detail

Time management

Professional communication

Conflict resolution

Organizational skills

Education

High school diploma

Job description

Aveanna Healthcare is seeking a Billing Specialist to manage aged patient accounts and maximize recoveries. The role reports to the Reimbursement Supervisor and requires strong attention to detail and communication with branch staff.

Based in Atlanta, GA, the position emphasizes timely collection from commercial, Medicare, Medicaid and private pay payers, with emphasis on SOX controls and accurate documentation in the EMR system.