Billing Specialist (Medical)

Graham Healthcare Group; Lake Michigan Beach (MI); Remoto; USD 29.000 - 32.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health, Vision & Dental

401K & Pension

PTO 15 Days

Company-paid Education Programs

Descrizione del lavoro

Graham Healthcare Group is hiring a Home Health Billing Analyst I to support Hospice Billing with a focus on timely and accurate claims filing. This full-time, fully remote position offers 40 hours weekly, EST/CST hours, and benefits including health, vision, dental, and a 401K with company contributions.

The role supports the Hospice Billing Team Lead and Supervisor, handling Medicare and non-Medicare claims, Oasis reports, and daily billing tasks while ensuring compliance and accuracy.

Competenze

• High school education or equivalent.
• 1–3 years billing experience (preferred in home health care).
• Proficiency in Microsoft Office Suite.
• Knowledge of Waystar and Esolutions; familiarity with commercial web portals.
• Understanding of Medicare FSSO DDE software.
• Strong computer knowledge; detail-oriented and patient.

Mansioni

• Perform claim audit review for Medicare and PPS Medicare Commercial.
• Maintain responsibility for Oasis reports.
• Review unbilled reports for Medicare and Non-Medicare weekly.
• Bill Medicare/Non-Medicare claims daily.
• Review pre-post report to verify visits have usual rate and contractual adjustment bi-weekly.
• Work Medicare/Non-Medicare claim rejections; billing notes for accounts 30+ days.
• Make insurance calls to check status on outstanding claims; collect patient payments by phone.
• Process requests for information from Insurance Companies; answer billing queue calls.

Conoscenze

Billing experience

Microsoft Office

Communication skills

Attention to detail

Patience

Flexibility

Formazione

High school diploma or equivalent

Strumenti

Waystar

Esolutions

Medicare FSSO DDE

Descrizione del lavoro

Job Title Billing Analyst I Location

Remote/Nationwide, USA Additional Location(s)

Employee Type

Employee Working Hours Per Week

40 Job Description

Homecare Homebase experience is required for this position.

Waystar experience is required for this position.

Compensation: $21.00 - $23.00

The base compensation range for this role is fixed, with a maximum cap of $23.00. We want to be transparent about this as we continue discussions.

Monday-Friday, 8 AM - 5PM, EST or CST, fully remote

Medical Benefits: Health, Vision, & Dental

Retirement: 401K & Pension w/ 4% employee contribution

PTO: 15 Days

Graham Healthcare Group is hiring a Home Health Billing Analyst I to support our company's brands and service lines. This position will support the Hospice Billing Team Lead and Hospice Billing Supervisor to ensure timely and correct claims are filed with all respective payers and intermediaries for Hospice patients. This position can sit remotely.

Home Health Billing Analyst I Responsibilities:

• Perform claim audit review for Medicare and PPS Medicare Commercial
• Maintain responsibility for Oasis reports
• Review unbilled reports for Medicare and Non-Medicare on a weekly basis
• Bill Medicare/Non-Medicare claims on a daily basis
• Review pre-post report to verify all visits have a usual and customary rate and contractual adjustment on a bi-weekly basis
• Work Medicare/Non-Medicare claim rejections
• Perform billing note entry on all outstanding accounts over 30 days
• Make insurance calls to check status on outstanding claims
• Process requests for additional information from Insurance Companies
• Answer billing queue calls
• Collect patient payments via the phone
• Work monthly Medicare, Medicare, HMO, and 3rd-party agency
• Review Monthly SOX report to ensure every account over 30 days has a Billing note

Home Health Qualification Requirements:

• High school education or equivalent
• Minimum of one to three years billing experience (preferred in home health care)
• Proficiency in Microsoft Office Suite
• Knowledge of Esolutions, Waystar, and commercial web portals
• Understanding of Medicare FSSO DDE software
• Strong computer knowledge
• Demonstrated patience, flexibility, and cooperative attitude
• Strong communication skills with other office staff
• Conscientiousness and attention to detail

About Graham Healthcare Group:

As an innovator in an evolving healthcare world, Graham Healthcare Group has been designing business and technology solutions to drive better care, outcomes, and productivity within its own home health and hospice companies for over 20 years. In the last several years, our solutions have been successfully integrated across the healthcare continuum.

Join the Graham Healthcare Group and enjoy the following benefits:

• Competitive Pay: With opportunity for advancement
• Health and Welfare Benefits: Various medical, dental, and vision insurance options for you and your family to choose from.
• Supplemental Benefits: Company-paid life insurance and disability benefits. Also, pre-tax FSA and HSA plans are offered.
• Generous PTO Packages: 15 days PTO that grows with your tenure, 6 paid holidays, 1 personal day.
• Retirement: Save for your future with our company offered 401k and Company Contribution Plan.
• Company-Paid Education Programs: Grow your career by taking advantage of discounts on tuition for selected courses offered by Purdue and Kaplan.
• Benefits may vary based on your employment status.

NOTICE :

Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.

By supplying your phone number, you agree to receive communication via phone or text.

By submitting your application, you are confirming that you are legally authorized to work in the United States.

Graham Healthcare Group is an Equal Opportunity Employer