Billing Specialist (Medical)

Graham Healthcare Group; Lansing (MI); À distance; USD 29 000 - 32 000; Plein temps

Avantages offerts par ce poste

Health and Welfare Benefits

PTO 15 Days per year

401K with Company Contribution

Company-Paid Education Programs

Résumé du poste

Graham Healthcare Group is seeking a Billing Analyst I to support home health billing operations remotely across the United States. You will audit Medicare claims, manage Oasis reports, and bill Medicare and non-Medicare claims daily while maintaining timely communication with insurers and patients.

Ideal candidates have 1–3 years of billing experience, strong Excel skills, and knowledge of Waystar and Esolutions.

Qualifications

• High school education or equivalent.
• 1–3 years billing experience (home health care preferred).
• Proficiency in Microsoft Office Suite.
• Knowledge of Esolutions, Waystar, and commercial web portals.
• Understanding of Medicare FSSO DDE software.
• Strong computer knowledge and attention to detail.
• Good communication with office staff and patients.

Responsabilités

• 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.
• Verify visits have usual rates and contractual adjustments bi-weekly.
• Handle Medicare/Non-Medicare claim rejections.
• Enter billing notes on accounts over 30 days.
• Make insurance calls to check claim status.
• Process requests for information from insurers.
• Answer billing queue calls and collect patient payments by phone.
• Work monthly Medicare, HMO, and 3rd-party agency.
• Review monthly SOX reports for accounts over 30 days.

Connaissances

Microsoft Office Suite

Esolutions

Waystar

Commercial web portals

Strong communication

Attention to detail

Formation

High school diploma or equivalent

Outils

Medicare FSSO DDE

Description du poste

Job Title: Billing Analyst I

Location: Remote/Nationwide, USA

Additional Location(s): Employee Type: Employee

Working Hours Per Week: 40

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.

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

Medical Benefits: Health, Vision, & Dental

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

PTO: 15 Days

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.

Graham Healthcare Group is an Equal Opportunity Employer